Individual
ANDI BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5505 MYRTLE AVE, RIDGEWOOD, NY 11385-3550
(347) 408-2387
Mailing address
102 MADISON AVE FL 8, NEW YORK, NY 10016-7584
(212) 759-2282
(212) 379-2123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/21/2026
Last updated
02/21/2026
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