Provider Demographics
NPI:1841160702
Name:BATZ, ANNA-MARIE W
Entity type:Individual
Prefix:
First Name:ANNA-MARIE
Middle Name:W
Last Name:BATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 TRACY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-1062
Mailing Address - Country:US
Mailing Address - Phone:607-217-6513
Mailing Address - Fax:
Practice Address - Street 1:213 TRACY CREEK RD
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-1062
Practice Address - Country:US
Practice Address - Phone:607-217-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007301133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered