Individual
MARILYN BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 5TH AVE, BAY SHORE, NY 11706-6408
(917) 864-7560
Mailing address
10 FULLER ST, DIX HILLS, NY 11746-6656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280019
NY
363LF0000X
Family Nurse Practitioner
F337611-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405211
NY
Other
Enumeration date
11/04/2008
Last updated
04/14/2025
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