Provider Demographics
NPI:1760669402
Name:BATUROV, LILIYA (CPED)
Entity Type:Individual
Prefix:MRS
First Name:LILIYA
Middle Name:
Last Name:BATUROV
Suffix:
Gender:F
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 57TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-4523
Mailing Address - Country:US
Mailing Address - Phone:718-436-5531
Mailing Address - Fax:718-853-5755
Practice Address - Street 1:5102 13TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3520
Practice Address - Country:US
Practice Address - Phone:718-435-5684
Practice Address - Fax:718-435-9490
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20630174400000X
NY18604174400000X
NY045999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No174400000XOther Service ProvidersSpecialist