Individual
ANDREA BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S ED
Contact information
Practice address
170 OVERLOOK AVE, STATEN ISLAND, NY 10304-3006
(917) 520-0884
Mailing address
170 OVERLOOK AVE, STATEN ISLAND, NY 10304-3006
(917) 520-0884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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