Doctor Name: | SIDNEY M BALICK |
NPI Number: | 1811212699 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPH |
License Number: | 022784 |
Business Practice Address: | 392 Feura Bush Rd Glenmont, NY - 120772954 |
Business Phone Number: | 5184625547 |
Business Fax Number: | |
Mailing Address: | 392 Feura Bush Rd, GLENMONT |
State: | NY |
Postal Code: | 120772954 |
Phone Number: | 5184625547 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835G0303X |
License Number: | 022784 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Geriatric |
Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |