Provider Demographics
NPI:1699834945
Name:GORIN, BATYA (MD)
Entity Type:Individual
Prefix:
First Name:BATYA
Middle Name:
Last Name:GORIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915-25 CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710
Mailing Address - Country:US
Mailing Address - Phone:914-779-1591
Mailing Address - Fax:914-779-1594
Practice Address - Street 1:1915-25 CENTRAL PARK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710
Practice Address - Country:US
Practice Address - Phone:914-779-1591
Practice Address - Fax:914-779-1594
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1436092084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00967928Medicaid
NY00967928Medicaid