Celeste Stahl Balaban, D.o, Pllc | |
21 N Main St Middleport NY 14105-1027 | |
(716) 735-7774 | |
Not Available |
Full Name | Celeste Stahl Balaban, D.o, Pllc |
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Speciality | Internal Medicine |
Location | 21 N Main St, Middleport, New York |
Authorized Official Name and Position | Celeste Stahl Balaban (PHYSICIAN) |
Authorized Official Contact | 7167357774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Celeste Stahl Balaban, D.o, Pllc 21 N Main St Middleport NY 14105-1027 Ph: (716) 735-7774 | Celeste Stahl Balaban, D.o, Pllc 21 N Main St Middleport NY 14105-1027 Ph: (716) 735-7774 |
NPI Number | 1194474254 |
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Provider Enumeration Date | 03/23/2022 |
Last Update Date | 03/23/2022 |
Identifier | Type | State | Issuer |
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1194474254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
David Stahl, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 N Main St, Middleport, NY 14105 Phone: 716-735-7774 Fax: 716-735-3036 |