Individual
ANDREW TYLER BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
STONY BROOK MEDICAL CTR, HEALTH SCIENCES TOWER, T18-040, STONY BROOK, NY 11794-0001
(631) 450-0167
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
266055
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2010
Last updated
10/26/2015
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