Healthcare Provider Details

I. General information

NPI: 1053076596
Provider Name (Legal Business Name): EVELYN ELAINE BATRES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2021
Last Update Date: 10/31/2021
Certification Date: 10/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 PARK AVE
YONKERS NY
10703-2934
US

IV. Provider business mailing address

32 MADISON AVE
PORT CHESTER NY
10573-3204
US

V. Phone/Fax

Practice location:
  • Phone: 914-965-4300
  • Fax:
Mailing address:
  • Phone: 914-937-7697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF348370-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: