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Individual

DR. HISLA BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
451 CLARKSON AVE # 22, BROOKLYN, NY 11203-2054
(617) 905-5059
Mailing address
451 CLARKSON AVE # 22, BROOKLYN, NY 11203-2054
(617) 905-5059

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
153238
MA
2084P0800X
Psychiatry Physician
196399-1
NY
2084P0800X
Psychiatry Physician
C143917
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
196399-1
NY
2084P0804X
Child & Adolescent Psychiatry Physician
C143917
CA

Other

Enumeration date
07/17/2006
Last updated
05/03/2018
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