BRANDON J BALLISTER

POUGHKEEPSIE, NY
NPI1225313430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  015250)
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
Mr. BRANDON J BALLISTER RPA-C
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-454-8500
Mailing Address
Mr. BRANDON J BALLISTER RPA-C
45 READE PL
POUGHKEEPSIE, NY 12601-3947
Phone number: 845-454-8500
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