Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jorge Alberto Ballestas, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1750671855

Mr. Jorge Alberto Ballestas, MSCCC-SLP is a Speech-Language Pathologist in Sunnyside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

4122 42nd St Apt 5C
Sunnyside, NY 11104-2711
Phone: (646) 373-4499
Fax: (718) 406-9937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 015216-1 (NY)

Record details

NPI number1750671855
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedApril 11, 2011
Last updated in NPPESApril 11, 2011

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