Healthcare Provider Details

I. General information

NPI: 1225975485
Provider Name (Legal Business Name): MARIA M ROSARIO DE BATISTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 GODWIN TER APT 2A
BRONX NY
10463-5453
US

IV. Provider business mailing address

3140 GODWIN TER APT 2A
BRONX NY
10463-5453
US

V. Phone/Fax

Practice location:
  • Phone: 929-286-3122
  • Fax:
Mailing address:
  • Phone: 929-286-3122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: