Individual
ALEJANDRO CARABALLO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 ELMWOOD AVE, ROCHESTER, NY 14620-2913
(585) 275-1147
Mailing address
309 PEIRSON AVE, NEWARK, NY 14513-2016
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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