Provider Demographics
NPI:1588661755
Name:BATTISTA, ANTHONY JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOHN
Last Name:BATTISTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:68 S SERVICE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2354
Mailing Address - Country:US
Mailing Address - Phone:516-945-3000
Mailing Address - Fax:516-945-3131
Practice Address - Street 1:1101 STEWART AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4892
Practice Address - Country:US
Practice Address - Phone:516-746-2299
Practice Address - Fax:516-739-0623
Is Sole Proprietor?:No
Enumeration Date:2005-07-04
Last Update Date:2009-11-12
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Provider Licenses
StateLicense IDTaxonomies
NY149069208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics