Provider Demographics
NPI:1902305022
Name:BATUROV, SHMUEL
Entity Type:Individual
Prefix:MR
First Name:SHMUEL
Middle Name:
Last Name:BATUROV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W 47TH ST STE 430
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2852
Mailing Address - Country:US
Mailing Address - Phone:929-278-3469
Mailing Address - Fax:212-278-8226
Practice Address - Street 1:55 W 47TH ST STE 430
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2852
Practice Address - Country:US
Practice Address - Phone:929-278-3469
Practice Address - Fax:212-278-8226
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-04
Last Update Date:2018-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2060600-DCA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies