Batavia Pediatrics, PC

Organization Active NPI Pediatrics Physician · Batavia, NY

NPI 1073699005 · NPPES record last updated Oct 20, 2008

Key facts

NPI
1073699005
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
BATAVIA PEDIATRICS, PC
Practice address
47 Batavia City Centre
Batavia, NY 14020
Phone
(585) 343-2611
Fax
(585) 343-3826
NPI assigned
Oct 31, 2006
Organization subpart
No

Authorized official

Name
Kathelene Harmon
Title
Billing Manager
Phone
(585) 343-2611

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

47 Batavia City Centre
Batavia, NY 14020

Mailing address

47 Batavia City Centre
Batavia, NY 14020
Phone (585) 343-2611

Other identifiers

IdentifierTypeStateIssuer
03028622MedicaidNY

Other providers in Batavia, NY

All providers in Batavia, NY · Pediatrics Physician in New York

Sources for this page

Verify at the official NPI Registry.