Provider Demographics
NPI:1700574050
Name:BATOR, ALYSIA J (PA-C)
Entity Type:Individual
Prefix:
First Name:ALYSIA
Middle Name:J
Last Name:BATOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALYSIA
Other - Middle Name:
Other - Last Name:ZUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 LONG HILL RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:CT
Mailing Address - Zip Code:06232-1126
Mailing Address - Country:US
Mailing Address - Phone:860-816-1706
Mailing Address - Fax:
Practice Address - Street 1:326 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2740
Practice Address - Country:US
Practice Address - Phone:860-889-8331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical