Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 202596 | NY |
NPI | 1326090036 |
---|---|
Provider Name | Dr. Denny J Battista |
First Address | Liverpool, NY 13090-3901 |
Second Address | Liverpool, NY 13090-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 29/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02366681 | (05) | NY |
G73659 | (02) |