Klynt Marc Bally

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

450 Clarkson Avenue
Brooklyn, NY 11203

Phone

(718) 270-1566

NPI assigned

Aug 23, 2021

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2021.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1831866433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 GOLD STREET APARTMENT 7H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLY",
        "first_name": "KLYNT",
        "middle_name": "MARC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veroniquia Ballard
• Olgha Ballas
• Alicia Ballestas, LCAT, ATR-BC
• Jennifer Ballinger, MD
• Christen Ballou, RN, CPNP-PC
• Troy Balmagiya, MD
• Rajeev Balmiki, MD
• Eric Balmir, RPH
• Serge Balmir Jr., D.O.
• Sarah Jane Baloch, MS, OTR/L

• All providers in Brooklyn, NY
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.