National Provider Identifier

Michelle Balcom

Michelle Balcom is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 694-0216.

NPI 1962967448Rochester, NYPeer Specialist

Profile Overview

NPI
1962967448
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
February 08, 2019
Last Updated
February 08, 2019

Practice Location

  • 1 Mustard St
  • Rochester, NY 14609-6980

Phone: (585) 694-0216

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1962967448
Entity Type
Individual
Last Name
Balcom
First Name
Michelle
Mailing Street Address
1 Mustard St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-6980
Mailing Country
US
Mailing Phone
(585) 694-0216
Practice Street Address
1 Mustard St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-6980
Practice Country
US
Practice Phone
(585) 694-0216
Enumeration Date
February 08, 2019
Last Updated
February 08, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)