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NPI Code Detail

MEDICARE: CARLO BALBO

MEDICARE:   CARLO  BALBO
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1033893821
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLO BALBO
Provider Business Mailing Address
First Line : 29 ORMOND ST
Second Line :
City : ROCKVILLE CENTRE
State : NY
Zip : 11570-5534
Country : US
Telephone Number : 516-668-2794
Fax Number :
Provider Business Practice Location Address
First Line : 520 W MONTAUK HWY
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8321
Country : US
Telephone Number : 631-539-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 06/12/2023

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Directions to “ CARLO BALBO ” Practice Location

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