Individual
MARCO BALATBAT PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21273 26TH AVE, BAYSIDE, NY 11360-1943
(516) 345-4262
Mailing address
5338 65TH PL, MASPETH, NY 11378-1654
(661) 993-3159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015185
NY
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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