Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 279774 | NY |
NPI | 1245541382 |
---|---|
Provider Name | Joseph Batac |
First Address | Huntington, NY 11743-2186 |
Second Address | Huntington, NY 11743-2186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2010 |
Last Update Date | 03/02/2020 |