Provider Demographics
NPI:1356141493
Name:BALAT, AMIRA MAGDY HASSAN (ASSOCIATE IN SCIENCE)
Entity type:Individual
Prefix:
First Name:AMIRA
Middle Name:MAGDY HASSAN
Last Name:BALAT
Suffix:
Gender:
Credentials:ASSOCIATE IN SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7224 4TH AVE APT B1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2520
Mailing Address - Country:US
Mailing Address - Phone:347-656-3231
Mailing Address - Fax:
Practice Address - Street 1:7224 4TH AVE APT B1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2520
Practice Address - Country:US
Practice Address - Phone:347-656-3231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator