Provider Demographics
NPI:1760650550
Name:BATAVIA COMMUNITY CARE CENTER INC
Entity Type:Organization
Organization Name:BATAVIA COMMUNITY CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADEGBITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-344-4246
Mailing Address - Street 1:11 BATAVIA CITY CTR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-2107
Mailing Address - Country:US
Mailing Address - Phone:585-344-4246
Mailing Address - Fax:585-344-4895
Practice Address - Street 1:11 BATAVIA CITY CTR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-2107
Practice Address - Country:US
Practice Address - Phone:585-344-4246
Practice Address - Fax:585-344-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty