Individual provider · Type 1 NPI

Evan Michael Bates, BSW INTERN

Student in an Organized Health Care Education/Training Program · Cohoes, NY

NPI number 1962640045 Active

Practice location

50 Remsen St
Cohoes, NY 12047-2605

Call (518) 235-1100 Map

Fax (518) 235-0079

Mailing address

23 Richlee Dr
Camillus, NY 13031-1562

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962640045

Evan Michael Bates, BSW INTERN's National Provider Identifier is 1962640045, issued on Jan 28, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cohoes, NY. The record was last updated on Jan 28, 2009.