National Provider Identifier
Celeste Stahl Balaban, D.O.
Celeste Stahl Balaban, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Middleport, NY and a listed phone number of (716) 735-7774.
Profile Overview
- NPI
- 1821251323
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 03, 2008
- Last Updated
- October 15, 2010
Practice Location
- 21 N Main St
- Middleport, NY 14105-1027
Phone: (716) 735-7774
Specialties
- Internal Medicine Physician (207R00000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1821251323
- Entity Type
- Individual
- Last Name
- Stahl Balaban
- First Name
- Celeste
- Credential
- D.O.
- Provider Other Last Name
- Stahl
- Provider Other First Name
- Celeste
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 21 N Main St
- Mailing City
- Middleport
- Mailing State
- NY
- Mailing ZIP Code
- 14105-1027
- Mailing Country
- US
- Mailing Phone
- (716) 735-7774
- Practice Street Address
- 21 N Main St
- Practice City
- Middleport
- Practice State
- NY
- Practice ZIP Code
- 14105-1027
- Practice Country
- US
- Practice Phone
- (716) 735-7774
- Enumeration Date
- July 03, 2008
- Last Updated
- October 15, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Internal Medicine Physician (207R00000X)