Provider Demographics
NPI:1851541395
Name:BATTLE, PAMELA J TODD (LAC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:J TODD
Last Name:BATTLE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 WARBURTON AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1034
Mailing Address - Country:US
Mailing Address - Phone:914-572-1559
Mailing Address - Fax:
Practice Address - Street 1:601 WARBURTON AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1561
Practice Address - Country:US
Practice Address - Phone:914-572-1559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-20
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003862171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist