Provider Demographics
NPI:1710249586
Name:LOPATA, BETSY MARIE (MSED)
Entity Type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:MARIE
Last Name:LOPATA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SHERRILL RD
Mailing Address - Street 2:
Mailing Address - City:SHERRILL
Mailing Address - State:NY
Mailing Address - Zip Code:13461-1461
Mailing Address - Country:US
Mailing Address - Phone:315-363-8288
Mailing Address - Fax:315-363-8814
Practice Address - Street 1:601 SHERRILL RD
Practice Address - Street 2:
Practice Address - City:SHERRILL
Practice Address - State:NY
Practice Address - Zip Code:13461-1461
Practice Address - Country:US
Practice Address - Phone:315-363-8288
Practice Address - Fax:315-363-8814
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist