Healthcare Provider Details

I. General information

NPI: 1396439972
Provider Name (Legal Business Name): SZILVIA BALAZS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 W MARKET ST
FAIRLAWN OH
44333-2494
US

IV. Provider business mailing address

1328 TERRIER DR APT E
COPLEY OH
44321-2161
US

V. Phone/Fax

Practice location:
  • Phone: 216-327-8557
  • Fax:
Mailing address:
  • Phone: 754-249-2548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: