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LYN JONSON BALLENER

Debarred entity

LYN JONSON BALLENER is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	BALLENER LYN JONSON · LYN JONSON BALLENER				[sources]
Birth date	1978-08-15				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	LYN				[sources]
ID Number	`00032523`				[sources]
Last name	BALLENER				[sources]
Middle name	JONSON				[sources]
NPI	`1710314984`				[sources]
Sector	Physical Therapist				[sources]
Unique Entity ID	`XTADU68GHZF5`				[sources]
Position	PHYSICAL THERAPY (IND- LIC HC SERV PRO)				[sources]
Address	29 ELEANOR PLACE, STATEN ISLAND, NY 10303 · STATEN ISLAND, NY 10303				[sources]
Last change	2025-12-29	Last processed	2025-12-29	First seen	2024-09-26

Sanctions
Country	Authority	Program	Start date	End date
United States	New York State Office of the Medicaid Inspector General		2024-09-26	-

Medical providers deemed ineligible to participate in New York State's Medicaid program.

United States · OMIG

People and companies excluded from Federally funded health care programs

United States · OIG

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

Source data IDs: us-medny-36539994125e2c3fd8fc1297010c7f645b9e7eca · us-fed-excl-lyn-jonson-ballener-10303-staten-island

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