Individual
MRS. KRISTEN BALENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3218 ERIE BLVD E, DE WITT, NY 13214-1204
(315) 430-5076
Mailing address
3218 ERIE BLVD E, DE WITT, NY 13214-1204
(315) 430-5076
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1293605
NY
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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