Healthcare Provider Details

I. General information

NPI: 1366769986
Provider Name (Legal Business Name): JAMES PHILIP BATTISTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2010
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S BEDFORD RD
MOUNT KISCO NY
10549-3446
US

IV. Provider business mailing address

110 S BEDFORD RD
MOUNT KISCO NY
10549-3446
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-1485
  • Fax:
Mailing address:
  • Phone: 914-242-1485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number274679
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number83587
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2016-01110
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: