Individual
JESSE BARBALATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 WESTCHESTER AVE, BRONX, NY 10459-3009
(718) 466-3550
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7239
(347) 649-3022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
07/31/2015
Last updated
02/03/2016
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