Provider Demographics
NPI:1225029242
Name:BATASH, STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:BATASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9712 63RD DR
Mailing Address - Street 2:1D
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2243
Mailing Address - Country:US
Mailing Address - Phone:718-830-0004
Mailing Address - Fax:718-830-0728
Practice Address - Street 1:9712 63RD DR
Practice Address - Street 2:1D
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2243
Practice Address - Country:US
Practice Address - Phone:718-830-0004
Practice Address - Fax:718-830-0728
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY175327207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
113191590OtherIRS
NY175327OtherDEPARTMENT OF EDUCATION
NY175327OtherDEPARTMENT OF EDUCATION