Individual
ELISABETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
180 FORT WASHINGTON AVE, NEW YORK, NY 10032-3722
(212) 305-3535
Mailing address
1818 CORNELIA ST UNIT 1, RIDGEWOOD, NY 11385-4918
(508) 524-7017
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383079
NY
Other
Enumeration date
07/15/2020
Last updated
03/06/2025
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