Healthcare Provider Details

I. General information

NPI: 1144463084
Provider Name (Legal Business Name): ZVI JON BATASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18420 UNION TPKE
FRESH MEADOWS NY
11366-1730
US

IV. Provider business mailing address

35 SPENCER ST
BROOKLYN NY
11205-5347
US

V. Phone/Fax

Practice location:
  • Phone: 646-453-0219
  • Fax: 646-699-1520
Mailing address:
  • Phone: 917-686-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number254557
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: