MR. Evan Michael Bates, BSW INTERN

NPI #1962640045 in Cohoes, New York

Provider Information

NPI Number: 1962640045
Entity Type: Individual
Name: MR. Evan Michael Bates, BSW INTERN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: BSW INTERN
Enumeration Date: Jan 28, 2009
Last Updated: Jan 28, 2009

Practice Location

Address: 50 REMSEN ST
City: Cohoes
State: New York
ZIP Code: 12047-2605
Phone: (518) 235-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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