Individual
LOREN LEIGH BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 W 52ND ST, NEW YORK, NY 10019-6239
(646) 754-2100
(646) 754-2585
Mailing address
700 HICKSVILLE RD STE 205, BETHPAGE, NY 11714-3472
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
421778
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
421778
NY
Other
Enumeration date
09/10/2019
Last updated
09/19/2024
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