National Provider Identifier Database

DVORAH BALSAM, MD – NPI #1871539155
Pediatric Radiology

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.


Contact Information

DVORAH BALSAM, MD
UNIVERSITY HOSPITAL AT STONY BROOK
LEVEL 4
STONY BROOK, NY11794-0001
Phone: 631-444-6919
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Radiology 2085P0229X

* Indicates primary specialty

NPI Profile & details for DVORAH BALSAM

NPI Number 1871539155
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 101354
  • NY Medicaid: 00778547
  • NY Other: 4518803 AETNA
  • NY Other: 74R981 EMP B/C B/S
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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