Provider Demographics
NPI:1215725551
Name:BATEMAN, MEGAN TERESA (RN, LMT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:TERESA
Last Name:BATEMAN
Suffix:
Gender:
Credentials:RN, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 LEE RD
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:NY
Mailing Address - Zip Code:13114-3419
Mailing Address - Country:US
Mailing Address - Phone:315-593-4732
Mailing Address - Fax:
Practice Address - Street 1:149 LEE RD
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:NY
Practice Address - Zip Code:13114-3419
Practice Address - Country:US
Practice Address - Phone:315-593-4732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY744696163W00000X
NY026170225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No163W00000XNursing Service ProvidersRegistered Nurse