Lorraine G Ballou in East Islip - Clinical
Lorraine G Ballou - NPI 1952513921
Lorraine G Ballou is a Clinical in East Islip, New York. Lorraine G Ballou practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lorraine G Ballou is 1952513921. The last update date is 2007-07-08.
Lorraine G Ballou's current location address is 31 Sherwood Drive, East Islip, New York. You can contact this provider via phone number 6312770099 and fax number 6312771054. The mailing address for Lorraine G Ballou is 31 Sherwood Drive, East Islip, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lorraine G Ballou |
|---|---|
| Address | 31 Sherwood Drive, East Islip, New York |
| Phone Number | 6312770099 |
| Fax Number | 6312771054 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1952513921 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 31 Sherwood Drive |
|---|---|
| City | East Islip |
| State | New York (NY) |
| Post Code | 11730 |
| Phone Number | 6312770099 |
| Fax Number | 6312771054 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 69259 |
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What is the unique identifier code issued to Lorraine G Ballou by the Centers for Medicare & Medicaid Services (CMS)?
The Lorraine G Ballou has been assigned the NPI (National Provider Identifier) 1952513921. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Lorraine G Ballou?
The Lorraine G Ballou is physically situated at 31 Sherwood Drive, in the city of East Islip, state of NY, with the postal code 11730.
What is the area of specialization for Lorraine G Ballou, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lorraine G Ballou is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952513921 to Lorraine G Ballou?
The Centers for Medicare & Medicaid Services originally issued the 1952513921 to Lorraine G Ballou on 2007-05-04.
When was the information pertaining to Lorraine G Ballou most recently updated or revised?
The details related to Lorraine G Ballou, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1174529739
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