| Doctor Name: | MRS. CRYSTAL BATEMAN |
| NPI Number: | 1972609709 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 381346 |
| Business Practice Address: | 4415 Buffalo Rd Suite 1b North Chili, NY - 145141024 |
| Business Phone Number: | 5855949254 |
| Business Fax Number: | 5855949233 |
| Mailing Address: | 4415 Buffalo Rd, Suite 1b NORTH CHILI |
| State: | NY |
| Postal Code: | 145141024 |
| Phone Number: | 5855949254 |
| Fax Number: | 5855949233 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 381346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |