Individual
DANA BALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 PINE ST, NEW YORK, NY 10005-1522
(646) 973-5433
Mailing address
307 5TH AVE FL 6, NEW YORK, NY 10016-6575
(212) 759-2282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045372
NY
Other
Enumeration date
12/03/2019
Last updated
12/06/2019
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