Individual
MARY CATHERINE BALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1484 1ST AVE, WRIGHT CENTER ON AGING, NEW YORK, NY 10021-2304
(212) 746-7000
(212) 717-8207
Mailing address
4352 171ST ST, FLUSHING, NY 11358-3328
(718) 359-0197
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340548
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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