Provider Demographics
NPI:1407024482
Name:ADEL BATRI, MD PC
Entity Type:Organization
Organization Name:ADEL BATRI, MD PC
Other - Org Name:DR. ADEL BATRI, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BATRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:212-674-1233
Mailing Address - Street 1:247 3RD AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7457
Mailing Address - Country:US
Mailing Address - Phone:212-674-1233
Mailing Address - Fax:212-254-4957
Practice Address - Street 1:247 3RD AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7457
Practice Address - Country:US
Practice Address - Phone:212-674-1233
Practice Address - Fax:212-254-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134117207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00398792Medicaid
NYA98550Medicare UPIN
NY00398792Medicaid