Individual
PAIGE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
322 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(718) 680-8383
(833) 671-0477
Mailing address
464 77TH ST, BROOKLYN, NY 11209-3206
(718) 680-8383
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
319268-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356688220
PRACTICE TYPE II NPI
—
Enumeration date
04/12/2017
Last updated
02/13/2025
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