Healthcare Provider Details

I. General information

NPI: 1508332495
Provider Name (Legal Business Name): ALEXANDER BATKIN L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 W 27TH ST FL 9
NEW YORK NY
10001-6903
US

IV. Provider business mailing address

36 ORCHARD ST APT 5A
NEW YORK NY
10002-6158
US

V. Phone/Fax

Practice location:
  • Phone: 212-675-9355
  • Fax:
Mailing address:
  • Phone: 845-594-7357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number006299
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: