Individual
DANIELLE BALESTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4000 CIVIC CENTER DR STE 200B, SAN RAFAEL, CA 94903-5232
(415) 492-3333
Mailing address
130 E 77TH ST FL 10, NEW YORK, NY 10075-1851
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
031446
NY
363A00000X
Physician Assistant
Primary
PA68135
CA
Other
Enumeration date
10/03/2022
Last updated
06/28/2026
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