MR. Jorge Alberto Ballestas, M.S. CCC-SLP

NPI #1750671855 in Sunnyside, New York

Provider Information

NPI Number
1750671855
Entity Type
Individual
Name
MR. Jorge Alberto Ballestas, M.S. CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC-SLP
Enumeration Date
Apr 11, 2011
Last Updated
Apr 11, 2011

Practice Location

Address
4122 42ND ST APT 5C
ZIP Code
11104-2711
Phone
(646) 373-4499

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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