Individual
DR. JOSE BALLEZA YULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 AUTUMN LN, HICKSVILLE, NY 11801-6321
(386) 445-8791
Mailing address
27 COLLINGTON CT, PALM COAST, FL 32137-8922
(386) 445-8791
(386) 445-8791
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
137875
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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