Individual
ANA BALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 MAIN ST STE 101, BREWSTER, NY 10509-1521
(273) 791-4632
Mailing address
88 HIGHLAND AVE, YONKERS, NY 10705-1203
(862) 763-6755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346994-01
NY
Other
Enumeration date
03/02/2021
Last updated
03/28/2023
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