Individual
DR. MARY E BALLIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
116 W BUFFALO ST, ITHACA, NY 14850-4132
(607) 256-0641
(607) 256-0641
Mailing address
116 W BUFFALO ST, ITHACA, NY 14850-4132
(607) 256-0641
(607) 256-0641
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005480-1
NY
Other
Enumeration date
11/14/2006
Last updated
07/09/2007
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