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Individual

BRIAN P BATESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 WOODHULL COVE LN, SETAUKET, NY 11733-1642
(631) 751-3040
(631) 689-3416
Mailing address
12 WOODHULL COVE LN, SETAUKET, NY 11733-1642
(631) 751-3040
(631) 744-6205

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1867561
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01514272
NY
Enumeration date
12/29/2005
Last updated
10/21/2015
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