National Provider Identifier
John A. Balacki, M.D.
John A. Balacki, M.D. is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Olean, NY and a listed phone number of (716) 372-0141.
Profile Overview
- NPI
- 1578562179
- Provider Type
- Individual
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- July 18, 2005
- Last Updated
- July 08, 2007
Practice Location
- 535 Main St
- Olean, NY 14760-1513
Phone: (716) 372-0141
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1578562179
- Entity Type
- Individual
- Last Name
- Balacki
- First Name
- John
- Middle Name
- A.
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 535 Main St
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1513
- Mailing Country
- US
- Mailing Phone
- (716) 372-0141
- Mailing Fax
- (716) 373-6632
- Practice Street Address
- 535 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 372-0141
- Practice Fax
- (716) 373-6632
- Enumeration Date
- July 18, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)
- Other Identifiers
- 00520470 (NY)