Provider Demographics
NPI:1134392145
Name:BATTISTI, RENATO PIETRO (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:RENATO
Middle Name:PIETRO
Last Name:BATTISTI
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6 MARLBORO RD
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1215
Mailing Address - Country:US
Mailing Address - Phone:516-841-5732
Mailing Address - Fax:516-414-4260
Practice Address - Street 1:23059 ROCKAWAY BLVD
Practice Address - Street 2:225
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11413
Practice Address - Country:US
Practice Address - Phone:718-244-1644
Practice Address - Fax:718-244-1622
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0098211111NR0400X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX2K831Medicare PIN