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NPI Profile for Dr DIANA BALLARD in STATEN ISLAND, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X |
| NPI # | 1114465564 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 02/06/2017 | |
| Last updated | 04/21/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIANA BALLARD
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DIANA BALLARD, PHD