Provider Demographics
NPI:1548633357
Name:BATEN INTEGRATIVE THERAPIES
Entity type:Organization
Organization Name:BATEN INTEGRATIVE THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:ZOE
Authorized Official - Last Name:BATEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-725-9866
Mailing Address - Street 1:1201 BROADWAY
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5405
Mailing Address - Country:US
Mailing Address - Phone:212-725-9866
Mailing Address - Fax:
Practice Address - Street 1:1201 BROADWAY
Practice Address - Street 2:SUITE 1003
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5405
Practice Address - Country:US
Practice Address - Phone:212-725-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014613103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty