Individual
DR. STEVEN EMMET CIABATTONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
176241
NY
2085R0202X
Diagnostic Radiology Physician
Primary
M9521
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548191
ANTHEM
KY
05
—
010348447
—
VA
01
—
176241
NYS LICENSE #
NY
01
—
3427930000
PASSPORT ADVANTAGE
KY
01
—
50017675
PASSPORT
KY
05
—
7100025670
—
KY
01
—
91826
SIHO
KY
Enumeration date
04/07/2006
Last updated
10/02/2008
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