Provider Demographics
NPI:1356316947
Name:FOOT AND ANKLE SPECIALISTS OF THE TWIN TIERS, P. C.
Entity Type:Organization
Organization Name:FOOT AND ANKLE SPECIALISTS OF THE TWIN TIERS, P. C.
Other - Org Name:BIG FLATS PODIATRY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:BATZING
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:607-562-7300
Mailing Address - Street 1:455 MAPLE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BIG FLATS
Mailing Address - State:NY
Mailing Address - Zip Code:14814-9701
Mailing Address - Country:US
Mailing Address - Phone:607-562-7300
Mailing Address - Fax:607-562-7575
Practice Address - Street 1:455 MAPLE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BIG FLATS
Practice Address - State:NY
Practice Address - Zip Code:14814-9701
Practice Address - Country:US
Practice Address - Phone:607-562-7300
Practice Address - Fax:607-562-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0058291213E00000X
NYN003531213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02721479Medicaid
NY02721479Medicaid
NY02721479Medicaid
NY=========OtherBCBS GROUP #