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Mariam Ballout

NPI 1801481767 · on the registry since 2021 · sole proprietor

Practice

Address
961 Saint Nicholas Ave Apt 35
New York, NY 10032
Phone
(516) 244-0442

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York