Provider Demographics
NPI:1588643126
Name:BALFOUR, ERIKA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:M
Last Name:BALFOUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2667
Mailing Address - Country:US
Mailing Address - Phone:845-333-6333
Mailing Address - Fax:845-333-7342
Practice Address - Street 1:707 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2667
Practice Address - Country:US
Practice Address - Phone:845-333-6333
Practice Address - Fax:845-333-7342
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH71629Medicare UPIN