Healthcare Provider Details

I. General information

NPI: 1295667269
Provider Name (Legal Business Name): JENNIFER ASHLEY BATILO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 UTOPIA PKWY
WHITESTONE NY
11357-4142
US

IV. Provider business mailing address

13201 ROOSEVELT AVE
FLUSHING NY
11354-5279
US

V. Phone/Fax

Practice location:
  • Phone: 347-946-6953
  • Fax:
Mailing address:
  • Phone: 646-696-6126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031155-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: