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NPI 1306158670

NPI 1306158670 : SARIBEL BALLESTER PSY.D : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1306158670
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    Entity Type          |    Individual 
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    Provider Name        |    SARIBEL BALLESTER PSY.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2010
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    Last Update Date     |    07/02/2010
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Provider Practice Location Address
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    Address Line         |    4951 CHAMBERS ST 6TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10007
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    Country              |    US
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    Telephone            |    212-221-1544
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    720 TUCKAHOE RD APT 1P 
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10710-5212
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    Country              |    US
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    Telephone            |    914-274-8682
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    
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    License Number State |    NY
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