Provider Demographics
NPI:1982875365
Name:PAIN TREATMENT CONSULTANTS OF WNY
Entity type:Organization
Organization Name:PAIN TREATMENT CONSULTANTS OF WNY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BATTISTA
Authorized Official - Suffix:SR
Authorized Official - Credentials:DNS, ANP, PNP
Authorized Official - Phone:716-833-8184
Mailing Address - Street 1:646 N FRENCH RD STE 7
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2100
Mailing Address - Country:US
Mailing Address - Phone:716-870-3585
Mailing Address - Fax:716-833-7726
Practice Address - Street 1:646 N FRENCH RD STE 7
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2100
Practice Address - Country:US
Practice Address - Phone:716-833-8184
Practice Address - Fax:716-833-7746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199397208VP0000X
NY301682363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty