Individual
DR. JOHN PETER BALISTRERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5 E 22ND ST, SUITE 23-B, NEW YORK, NY 10010-5315
(212) 254-6081
Mailing address
5 E 22ND ST, SUITE 23-B, NEW YORK, NY 10010-5315
(212) 254-6081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012264
NY
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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