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Contact Information

GREGORY J BALAES, DMD
932 WOODROW RD
STATEN ISLAND, NY10312
 Phone: 718-747-8711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GREGORY J BALAES · (Male)

NPI # 1962941898
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 02/12/2017
Last updated 05/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 059987
Hospital affiliation(s) Not Available
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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