Ballestas, Julio

Ballestas, Julio is an sole proprietor health care provider with primary practice located at 220 Fort Salonga Rd 301, Northport NY 11768-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ballestas, Julio can be contacted via phone (631) 260-7360.

Contact Information

Primary practice address
220 Fort Salonga Rd 301 Northport NY 11768-3900
Phone: (631) 260-7360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 274923 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 054124 Connecticut

Profile Details

NPI number 1841521069
LBN Legal business name Ballestas, Julio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2010
Last updated Aug 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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