Individual
DAPHNE BATANERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-3833
Mailing address
98 ELDER DR, MASTIC BEACH, NY 11951-5404
(631) 338-6859
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015448
NY
Other
Enumeration date
04/20/2012
Last updated
08/09/2022
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