Provider Demographics
NPI:1114033461
Name:BATISTA, SHARI BETH (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:BETH
Last Name:BATISTA
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TERRACE CIR
Mailing Address - Street 2:APT 1H
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4159
Mailing Address - Country:US
Mailing Address - Phone:631-261-4400
Mailing Address - Fax:
Practice Address - Street 1:1 TERRACE CIR
Practice Address - Street 2:APT 1H
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4159
Practice Address - Country:US
Practice Address - Phone:631-261-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY942933133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered