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Olivia Rose Ballone, DO
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1497505812

Olivia Rose Ballone is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Olivia Rose Ballone practices in Stony Brook, NY and has the professional credentials of DO. The NPI Number for Olivia Rose Ballone is 1497505812 and holds a License No. (New York).

The current practice location address for Olivia Rose Ballone is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-444-2499.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497505812
Provider Name
Olivia Rose Ballone
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd, Stony Brook, NY, 11794
Phone Number
631-444-2499
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-2499
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-2499
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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