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NPI Code Detail

MEDICARE: DR. MARGARET BALLANTINE MSW, PHD

MEDICARE:  DR. MARGARET  BALLANTINE  MSW, PHD
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
11041C0700XClinical Social WorkerR018948-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CX1326054743OTHERNYCROSSROADS IDENTIFIER

General Provider Information

NPI Number : 1366537250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET BALLANTINE MSW, PHD
Provider Business Mailing Address
First Line : 123 MARKET ST
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-3601
Country : US
Telephone Number : 518-843-8440
Fax Number :
Provider Business Practice Location Address
First Line : 123 MARKET ST
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-3601
Country : US
Telephone Number : 518-843-8440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARGARET BALLANTINE MSW, PHD” Practice Location

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