IndividualActive
Adriane Clark Ballesteros, PTA
NPI 1700588399 · Physical Therapy Assistant · Elmhurst, NY
Provider details
- NPI number
- 1700588399
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 012564 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5741 Van Horn St Fl 3
Elmhurst, NY 11373-5090
Phone: (347) 839-9275
Approximate (ZIP-level) locationGet directions
Mailing address
5741 Van Horn St Fl 3
Elmhurst, NY 11373-5090
Registry dates
- Enumerated
- 2023-03-20
- Last updated
- 2023-03-20
- Certified
- 2023-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.