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NPI Code Detail

MEDICARE: MS. TZIPORA BALELLI

MEDICARE: MS. TZIPORA BALELLI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist2543709NY

General Provider Information

NPI Number : 1336551621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TZIPORA BALELLI
Provider Business Mailing Address
First Line : 6703 AVENUE T
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-6000
Country : US
Telephone Number : 917-213-9919
Fax Number : 718-766-9499
Provider Business Practice Location Address
First Line : 6703 AVENUE T
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-6000
Country : US
Telephone Number : 917-213-9919
Fax Number : 718-766-9499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2014
Last Update Date : 05/21/2014

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Directions to “ MS. TZIPORA BALELLI ” Practice Location

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