NIKOLAS RYAN BALAS
Restorative Service Providers at Route 112, Coram, NY

License number
New York 32468
Category
Restorative Service Providers
Type
Rehabilitation Practitioner
Address
Address
3600 Route 112, Coram, NY 11727
Phone
(631) 920-8500
(631) 920-8501 (Fax)
National Provider ID: 1801322375
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Nikolas Balas, age 42
25 Harrison Ave, Centereach, NY 11720
(631) 546-8335
Nikolas K Balas
15 Prospect Ter #2 A, Cortland, NY 13045
Nikolas K Balas
25 Harrison Ave, Centereach, NY 11720

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