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NIKOLAS RYAN BALAS
NPI 1801322375
Rehabilitation Practitioner in Coram, NY

Active since May 03, 2017
3600 ROUTE 112, CORAM, NY 11727(631) 920-8500(631) 920-8501 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nikolas Ryan Balas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKOLAS RYAN BALAS (NPI 1801322375) is an individual rehabilitation practitioner in Coram, New York, licensed in New York (32468) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1801322375
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameNIKOLAS RYAN BALAS
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address3600 Route 112Coram, NY 11727-4116 · (631) 920-8500 · Fax (631) 920-8501
Phone(631) 920-8500
Fax(631) 920-8501
Sole ProprietorNo
Enumeration DateMay 3, 2017
✔ NPI 1801322375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in NY · 32468
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3600 ROUTE 112, Coram, NY 11727
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL FERNANDES
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ANNE KIRKHAM
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JENNIFER HATFIELD
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (630) 920-8500
TRAVIS J WINGATE
Day Training/Habilitation Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8520
JENNIFER WILLA SIEGFRIED
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
SHANNON TIERNEY
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8610
ROSE PRISCILLA SANCHEZ
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
NATHALY ESTRADA
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikolas Balas's NPI number?

The NPI number for Nikolas Balas is 1801322375. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Nikolas Balas located?

Nikolas Balas practices at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 920-8500.

What is Nikolas Balas's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Nikolas Balas was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.