Individual
SUSAN L. BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
112 CHARLTON ROAD, BALLSTON LAKE, NY 12019-2547
(518) 399-7723
(518) 399-7753
Mailing address
112 CHARLTON ROAD, BALLSTON LAKE, NY 12019-2547
(518) 399-7723
(518) 399-7753
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
427188
NY
Other
Enumeration date
08/31/2006
Last updated
04/28/2010
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