Provider Demographics
NPI:1144667965
Name:HARDBATTLE, ROBIN (LAC)
Entity type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:
Last Name:HARDBATTLE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2543 46TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-1106
Mailing Address - Country:US
Mailing Address - Phone:347-677-4726
Mailing Address - Fax:
Practice Address - Street 1:200 E 15TH ST
Practice Address - Street 2:SUIT A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3902
Practice Address - Country:US
Practice Address - Phone:212-777-3909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004750171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist