Healthcare Provider Details

I. General information

NPI: 1780770024
Provider Name (Legal Business Name): ELLEN B BATTISTA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

646 N FRENCH RD STE 7
AMHERST NY
14228-2100
US

IV. Provider business mailing address

646 N FRENCH RD STE 7
AMHERST NY
14228-2100
US

V. Phone/Fax

Practice location:
  • Phone: 716-833-8184
  • Fax: 716-833-7176
Mailing address:
  • Phone: 716-833-8184
  • Fax: 716-833-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number38380633
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code364SR0400X
TaxonomyRehabilitation Clinical Nurse Specialist
License NumberF38380633
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code364SR0400X
TaxonomyRehabilitation Clinical Nurse Specialist
License NumberF3838063
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: