| NPI | 1144168345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY RAJENDRA BALLADIN President 516-644-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |