Individual
DR. LUISA FERNANDA LORENA EDITH GONZALEZ BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, LENOX HILL HOSPITAL, NEW YORK, NY 10075-1851
(212) 434-2135
(212) 434-3374
Mailing address
130 E 77TH ST, DEPARTMENT OF PEDIATRICS, NEW YORK, NY 10075-1851
(212) 434-2135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
262852
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
262852
NY
2080P0205X
Pediatric Endocrinology Physician
262852
NY
Other
Enumeration date
09/03/2008
Last updated
10/15/2019
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