Provider Demographics
NPI:1871570739
Name:BATZING, CHAD A (DPM)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:A
Last Name:BATZING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 MAPLE ST
Mailing Address - Street 2:SUITE2
Mailing Address - City:BIG FLATS
Mailing Address - State:NY
Mailing Address - Zip Code:14814-9701
Mailing Address - Country:US
Mailing Address - Phone:607-562-7300
Mailing Address - Fax:607-562-7575
Practice Address - Street 1:455 MAPLE ST
Practice Address - Street 2:SUITE2
Practice Address - City:BIG FLATS
Practice Address - State:NY
Practice Address - Zip Code:14814-9701
Practice Address - Country:US
Practice Address - Phone:607-562-7300
Practice Address - Fax:607-562-7575
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0058291213E00000X
TN592213E00000X
NYN005829-01213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02408253Medicaid
NY02408253Medicaid
U 92275Medicare UPIN
NY5590030001Medicare NSC