Provider Demographics
NPI:1851513501
Name:BATORFALVY, LESIA U (DMD)
Entity Type:Individual
Prefix:DR
First Name:LESIA
Middle Name:U
Last Name:BATORFALVY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 S CRANFORD RD
Mailing Address - Street 2:
Mailing Address - City:BARDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2022
Mailing Address - Country:US
Mailing Address - Phone:845-623-8769
Mailing Address - Fax:
Practice Address - Street 1:523 ROUTE 303
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1316
Practice Address - Country:US
Practice Address - Phone:845-359-0407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042151-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice