Individual
ERIC BALLECER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 CUBA HILL RD, GREENLAWN, NY 11740-1624
(631) 628-5000
Mailing address
6986 N GLEN SHORE DR, GLENDALE, WI 53209-2841
(414) 759-7000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
300758
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/22/2016
Last updated
05/13/2022
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