Individual
NADIA BASSINO BALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(917) 370-2777
Mailing address
1651 3RD AVE RM 205, NEW YORK, NY 10128-3679
(917) 370-2777
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001052
NY
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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