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NPI Code Detail

MEDICARE: DR. BRIAN A BATTAGLIA O.D.

MEDICARE:  DR. BRIAN A BATTAGLIA  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristVUT005501NY

General Provider Information

NPI Number : 1225186406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN A BATTAGLIA O.D.
Provider Business Mailing Address
First Line : 124 IRVING TER
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2742
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 124 IRVING TER
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2742
Country : US
Telephone Number : 716-876-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. BRIAN A BATTAGLIA O.D.” Practice Location

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