Individual
ALISSON BALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14461 ROOSEVELT AVE, FLUSHING, NY 11354-6252
(718) 229-5757
(718) 939-0881
Mailing address
14461 ROOSEVELT AVE, FLUSHING, NY 11354-6252
(718) 229-5757
(718) 939-0881
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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