Doctor Name: | JEAN CLEEFORD BATAILLE |
NPI Number: | 1497055636 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 007427-1 |
Business Practice Address: | 11949 226th St Cambria Heights, NY - 114112121 |
Business Phone Number: | 3475256961 |
Business Fax Number: | |
Mailing Address: | 11949 226th St, CAMBRIA HEIGHTS |
State: | NY |
Postal Code: | 114112121 |
Phone Number: | 3475256961 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0106X |
License Number: | 007427-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |