Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 199672 | NY |
NPI | 1023099124 |
---|---|
Provider Name | Maia V Batash |
First Address | Rego Park, NY 11374-2243 |
Second Address | Rego Park, NY 11374-2243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G74654 | (02) |