Provider Demographics
NPI:1083893853
Name:BATTAGLIA, ROBERT R (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:R
Last Name:BATTAGLIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 TRADEWIND CIR
Mailing Address - Street 2:
Mailing Address - City:N SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-4200
Mailing Address - Country:US
Mailing Address - Phone:315-451-0939
Mailing Address - Fax:
Practice Address - Street 1:102 TRADEWIND CIR
Practice Address - Street 2:
Practice Address - City:N SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-4200
Practice Address - Country:US
Practice Address - Phone:315-451-0939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036853183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist