Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 06798 | NY |
NPI | 1023392768 |
---|---|
Provider Name | Mrs. Sharon Diane Bagg Battisti |
First Address | Windsor, NY 13865-4037 |
Second Address | Windsor, NY 13865-4037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2011 |
Last Update Date | 29/09/2011 |