Provider Demographics
NPI:1952371619
Name:BATISTA, MICHELE J (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:J
Last Name:BATISTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:D' ANGELO-BATISTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:974 RT 45
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970
Mailing Address - Country:US
Mailing Address - Phone:845-354-1113
Mailing Address - Fax:845-354-1813
Practice Address - Street 1:974 RT 45
Practice Address - Street 2:SUITE 1000
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-354-1113
Practice Address - Fax:845-354-1813
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204061207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01995257Medicaid
NY52Z61JD371Medicare PIN
NY01995257Medicaid
NY52Z611Medicare PIN
H02688Medicare UPIN