Individual
ANDREA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BAKER RD, CANTON, NY 13617-4352
(315) 355-1870
Mailing address
200 BAKER RD, CANTON, NY 13617-4352
(315) 355-1870
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278387
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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