Individual
DR. ERIC MARK BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W 106TH ST, 3C, NEW YORK, NY 10025-3713
(212) 933-4192
(212) 933-4192
Mailing address
101 W 106TH ST, 3C, NEW YORK, NY 10025-3713
(212) 933-4192
(212) 933-4192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0617299
—
NY
Enumeration date
07/23/2007
Last updated
07/23/2007
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