CORALIE BALLISTA

Social Worker

Active Individual
NPI: 1396222642

Practice Address

750 TILDEN ST
Bronx, NY 10467

Phone: (718) 231-3400

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1396222642 is the National Provider Identifier for CORALIE BALLISTA, a Social Worker provider located in Bronx, NY. This NPI was enumerated on July 19, 2018.
CORALIE BALLISTA practices at 750 TILDEN ST, Bronx, NY 10467.

Quick Facts

NPI
1396222642
Type
Individual
Enumerated
Jul 19, 2018
Last Updated
Jul 19, 2018

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