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1134541733
AJAY BALLADIN
HICKSVILLE, NY
NPI
1134541733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 338235)
Enumeration Date
2014-01-16
Last Update Date
2017-02-02
Business Address
-- AJAY BALLADIN
350 S BROADWAY
HICKSVILLE, NY 11801-5006
Phone number: 516-938-0100
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Mailing Address
-- AJAY BALLADIN
55 WATER ST 12TH FL.
NEW YORK, NY 10041-0004
Phone number: 646-680-2888
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