Individual
AJAY BALLADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 SYLVIA RD, PLAINVIEW, NY 11803-6424
(516) 644-0120
Mailing address
3 SYLVIA RD, PLAINVIEW, NY 11803-6424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
338235
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407098
NY
Other
Enumeration date
01/16/2014
Last updated
03/22/2026
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