Provider Demographics
NPI:1811462484
Name:BATTAGLIA, JOE (AT STUDENT)
Entity type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:BATTAGLIA
Suffix:
Gender:M
Credentials:AT STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CHESTNUT PARK CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1408
Mailing Address - Country:US
Mailing Address - Phone:845-826-1301
Mailing Address - Fax:
Practice Address - Street 1:6 CHESTNUT PARK CT
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-1408
Practice Address - Country:US
Practice Address - Phone:845-826-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer