DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOHN A. BALACKI M.D.

MEDICARE: DR. JOHN A. BALACKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician138113NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578562179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN A. BALACKI M.D.
Provider Business Mailing Address
First Line : 535 MAIN ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-1513
Country : US
Telephone Number : 716-372-0141
Fax Number : 716-373-6632
Provider Business Practice Location Address
First Line : 535 MAIN ST
Second Line :
City : OLEAN
State : NY
Zip : 14760-1513
Country : US
Telephone Number : 716-372-0141
Fax Number : 716-373-6632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1649273715 — CHRISTOPHER T MALLAVARAPU MD
Practice Location Address:
515 MAIN ST
OLEAN, NY
14760-1513
Practice Phone: 716-373-2600
Practice Fax:
1750380242 — DR. OTHONIEL CASTRO MD
Practice Location Address:
535 MAIN ST
OLEAN, NY
14760-1513
Practice Phone: 716-372-0141
Practice Fax: 716-376-2351
1386643781 — WILLIAM CIHAK MD
Practice Location Address:
535 MAIN ST
OLEAN, NY
14760-1513
Practice Phone: 716-372-0141
Practice Fax: 716-376-2273
1467451658 — RICARDO P ILUSTRE M.D.
Practice Location Address:
535 MAIN ST
OLEAN, NY
14760-1513
Practice Phone: 716-372-0141
Practice Fax: 716-376-2354
1518966746 — G THOMAS SPIGEL M.D.
Practice Location Address:
535 MAIN ST
OLEAN, NY
14760-1513
Practice Phone: 716-372-0141
Practice Fax: 716-376-2281
1598764730 — GILBERT WITTE M.D.
Practice Location Address:
535 MAIN ST
OLEAN, NY
14760-1513
Practice Phone: 716-372-0141
Practice Fax: 716-376-2273

Directions to “ DR. JOHN A. BALACKI M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.