Individual
ANGELA BALLARANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 213-0310
(631) 213-0310
Mailing address
151 BURRS LN, DIX HILLS, NY 11746-6052
(631) 213-0310
(631) 213-0310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39975
NY
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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