Evan Michael Bates, BSW INTERN

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cohoes, NY

NPI 1962640045 · NPPES record last updated Jan 28, 2009

Key facts

NPI
1962640045
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
50 Remsen St
Cohoes, NY 12047-2605
Phone
(518) 235-1100
Fax
(518) 235-0079
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

50 Remsen St
Cohoes, NY 12047-2605

Mailing address

23 Richlee Dr
Camillus, NY 13031-1562

Other providers in Cohoes, NY

All providers in Cohoes, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.