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NPI Code Detail

MEDICARE: LAUREN BATISTE

MEDICARE:   LAUREN  BATISTE
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
1252Y00000XEarly Intervention Provider Agency589067NY

General Provider Information

NPI Number : 1578010468
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BATISTE
Provider Business Mailing Address
First Line : 1347 JUDY RD
Second Line :
City : MOHEGAN LAKE
State : NY
Zip : 10547-1906
Country : US
Telephone Number : 914-302-2747
Fax Number :
Provider Business Practice Location Address
First Line : 1347 JUDY RD
Second Line :
City : MOHEGAN LAKE
State : NY
Zip : 10547-1906
Country : US
Telephone Number : 914-302-2747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2016
Last Update Date : 09/08/2016

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Directions to “ LAUREN BATISTE ” Practice Location

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