Doctor Name: | CAROL DAWN BATRA |
NPI Number: | 1750337218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | F3323861 |
Business Practice Address: | 107 Prospect St Attica, NY - 140111149 |
Business Phone Number: | 5855916000 |
Business Fax Number: | 5855916962 |
Mailing Address: | 107 Prospect Street, ATTICA |
State: | NY |
Postal Code: | 140111149 |
Phone Number: | 5855916000 |
Fax Number: | 5855916962 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F3323861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |