DR. JOHN PETER BALISTRERI


Address: 5 E 22nd St, Suite 23-b, New York, NY 10010-5315
Phone: 2122546081

DR. JOHN PETER BALISTRERI (NPI# 1245425826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245425826
Entity Type Individual
Full Name DR. JOHN PETER BALISTRERI
Credential PH.D.
Practice Address 5 E 22nd St
Suite 23-b
New York
NY 10010-5315
Practice Telephone 2122546081
Mailing Telephone 2122546081
Enumeration Date 2007-09-07
Last Update Date 2007-09-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
012264 NY Behavioral Health & Social Service Providers

Office Location

Street Address 5 E 22ND ST
SUITE 23-B
City NEW YORK
State NY
Zip Code 10010-5315

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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