Individual
ADAM J BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T
Contact information
Practice address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
15167989605
Mailing address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
15167989605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P07096
NY
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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