National Provider Identifier
Stephanie Bates, DO
Stephanie Bates, DO is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 339-0630.
Profile Overview
- NPI
- 1467033985
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 16, 2021
- Last Updated
- July 22, 2024
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1383
Phone: (607) 339-0630
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1467033985
- Entity Type
- Individual
- Last Name
- Bates
- First Name
- Stephanie
- Credential
- DO
- Mailing Street Address
- 101 Dates Dr
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1383
- Mailing Country
- US
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1383
- Practice Country
- US
- Practice Phone
- (607) 339-0630
- Enumeration Date
- April 16, 2021
- Last Updated
- July 22, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)