Individual
MRS. JENNIFER LYNN BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
452 CAMBY RD, VERBANK, NY 12585-5304
(845) 677-0031
Mailing address
1110 ROUTE 55, LAGRANGEVILLE, NY 12540-5045
(845) 473-8445
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
692963
NY
Other
Enumeration date
03/30/2009
Last updated
03/24/2014
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