Provider Demographics
NPI:1972758647
Name:BATTISTONE, CAROL ANN (MA,OTR/L)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:BATTISTONE
Suffix:
Gender:F
Credentials:MA,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15934 RIVERSIDE DR W
Mailing Address - Street 2:#6F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1014
Mailing Address - Country:US
Mailing Address - Phone:917-353-4463
Mailing Address - Fax:
Practice Address - Street 1:127 W 82ND ST
Practice Address - Street 2:1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5503
Practice Address - Country:US
Practice Address - Phone:917-353-4463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-23
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist