Provider Demographics
NPI:1801216189
Name:BATTLEMAN, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID S
Middle Name:
Last Name:BATTLEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 STONEWALL CIR
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-1124
Mailing Address - Country:US
Mailing Address - Phone:914-949-1090
Mailing Address - Fax:914-949-1091
Practice Address - Street 1:112 STONEWALL CIR
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-1124
Practice Address - Country:US
Practice Address - Phone:914-949-1090
Practice Address - Fax:914-949-1091
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201642207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine