Individual
DR. MICHAEL BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 636-1353
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 636-1353
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ14881400
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
432634
NY
Other
Enumeration date
06/01/2023
Last updated
10/14/2024
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