Provider Demographics
NPI:1962551549
Name:BATEMAN, WILLIAM BARAGAR JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BARAGAR
Last Name:BATEMAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:227 MADISON ST
Mailing Address - Street 2:MEDICAL STAFF OFFICE, R-1249
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7537
Mailing Address - Country:US
Mailing Address - Phone:212-238-7614
Mailing Address - Fax:212-238-7009
Practice Address - Street 1:227 MADISON ST
Practice Address - Street 2:MEDICAL STAFF OFFICE, R-1249
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7537
Practice Address - Country:US
Practice Address - Phone:212-238-7614
Practice Address - Fax:212-238-7009
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY124827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY124827OtherNYS LICENSE#