Individual
JOSEPH BALESTRIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 FOREST AVE, STATEN ISLAND, NY 10301-2763
(718) 815-3155
Mailing address
201 FOREST AVE, STATEN ISLAND, NY 10301-2763
(718) 815-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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