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1023386935
MICHAEL STEPHEN BALLETTA
NEW YORK, NY
NPI
1023386935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F305718-1)
Enumeration Date
2011-12-06
Last Update Date
2013-05-02
Business Address
Mr. MICHAEL STEPHEN BALLETTA
1111 AMSTERDAM AVE
NEW YORK, NY 10025-1716
Phone number: 212-523-5918
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Mailing Address
Mr. MICHAEL STEPHEN BALLETTA
1111 AMSTERDAM AVE
NEW YORK, NY 10025-1716
Phone number: 212-523-5918
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