Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0400X | Rehabilitation Chiropractor | X0098211 | NY |
Y | 111NX0100X | Occupational Health | X0098211 | NY |
NPI | 1134392145 |
---|---|
Provider Name | Dr. Renato Pietro Battisti |
First Address | Westbury, NY 11590-1215 |
Second Address | Jamaica, NY 11413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2008 |
Last Update Date | 10/04/2008 |