Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Stephen Balletta

Individual provider Adult Health Nurse Practitioner · NPI 1023386935

Mr. Michael Stephen Balletta is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

1111 Amsterdam Ave
New York, NY 10025-1716
Phone: (212) 523-5918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F305718-1 (NY)

Record details

NPI number1023386935
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2011
Last updated in NPPESMay 2, 2013

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