Individual
ADOLFO ANGEL BALBUENA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 E 115TH ST, NEW YORK, NY 10029-1186
(212) 886-4027
Mailing address
590 AVENUE OF AMERICAS, NEW YORK NY, MANHATTAN, NY 10011-9904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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