Individual provider · NPI-1

Karen R Ballaban-Gil, MD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Bronx, NY

NPI number1508941816

StatusActive

Last updated in NPPESFeb 8, 2025

Details

NPI: 1508941816
Entity type: Individual (NPI-1)
Name: Karen R Ballaban-Gil
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Oct 26, 2006
Certification date: Feb 8, 2025
Last updated: Feb 8, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0402X	Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology	178549	NY	Yes
2084E0001X	Psychiatry & Neurology, Epilepsy	178549	NY

Practice location

Mmc - Dept. Of Neurology
1515 Blondell Avenue, Ste. 220
Bronx, NY 10461

Phone 718-405-8140

Mailing address

10 Beachway
Port Washington, NY 11050-3408

Phone 718-405-8140 · Fax 718-405-8149

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