Balletta, Michael Stephen

Balletta, Michael Stephen is an sole proprietor health care provider with primary practice located at 1111 Amsterdam Ave , New York NY 10025-1716. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Balletta, Michael Stephen can be contacted via phone (212) 523-5918.

Contact Information

Primary practice address
1111 Amsterdam Ave New York NY 10025-1716
Phone: (212) 523-5918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F305718-1 New York

Profile Details

NPI number 1023386935
LBN Legal business name Balletta, Michael Stephen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2011
Last updated May 2nd, 2013 - about 12 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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