Individual provider · Type 1 NPI
Mary Catherine Ballin, GNP
Gerontology Nurse Practitioner · New York, NY
NPI number
1114142916
Active
Practice location
1484 1st Ave, Wright Center On Aging
New York, NY 10021-2304
Fax (212) 717-8207
Mailing address
4352 171st St
Flushing, NY 11358-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F340548 (NY) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1114142916
Mary Catherine Ballin, GNP's National Provider Identifier is 1114142916, issued on Apr 16, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.