Individual
MAYER E BALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11045 QUEENS BLVD, FOREST HILLS, NY 11375-5501
(718) 520-0001
(718) 520-2972
Mailing address
11045 QUEENS BLVD, SUITE 114, FOREST HILLS, NY 11375-5501
(718) 520-0001
(718) 520-2972
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
143781
NY
Other
Enumeration date
07/06/2006
Last updated
01/06/2011
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