Andrea Balsamo, M.S Ed
Specialist in Staten Island, NY. Individual provider (NPI-1).
NPI number1164033320
StatusActive
Last updated in NPPESAug 12, 2020
Details
- NPI
- 1164033320
- Entity type
- Individual (NPI-1)
- Name
- Andrea Balsamo
- Credential
- M.S Ed
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2020
- Certification date
- Aug 12, 2020
- Last updated
- Aug 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
170 Overlook AveStaten Island, NY 10304-3006
Phone 917-520-0884
Mailing address
170 Overlook AveStaten Island, NY 10304-3006
Phone 917-520-0884
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