Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 223417 | MA |
N | 207X00000X | Orthopaedic Surgeon | 249055 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 249055 | NY |
NPI | 1134108558 |
---|---|
Provider Name | Todd Christopher Battaglia |
First Address | East Syracuse, NY 13057 |
Second Address | Dewitt, NY 13214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 05/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02986143 | (05) | NY |
2106353 | (05) | MA |