Provider Demographics
NPI:1871555078
Name:BATTERMAN, JANE (MD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:BATTERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 MINEOLA BLVD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-1502
Mailing Address - Country:US
Mailing Address - Phone:516-294-1377
Mailing Address - Fax:516-294-5574
Practice Address - Street 1:297 MINEOLA BLVD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-1502
Practice Address - Country:US
Practice Address - Phone:516-294-1377
Practice Address - Fax:516-294-5574
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183570207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY66J061Medicare PIN
F95543Medicare UPIN