Individual
KRISTINE MARIE BALLERA BATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 NAGLE AVE, NEW YORK, NY 10040-1405
(212) 928-7800
Mailing address
1 NAGLE AVE, NEW YORK, NY 10040-1405
(212) 928-7800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
050227
NY
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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