Individual provider · NPI-1

Andrew Tyler Bates

Surgery · Stony Brook, NY

NPI number1487971164
StatusActive
Last updated in NPPESOct 26, 2015

Details

NPI
1487971164
Entity type
Individual (NPI-1)
Name
Andrew Tyler Bates
Sex
Male
Sole proprietor
No
Enumeration date
Apr 21, 2010
Last updated
Oct 26, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery266055NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

Stony Brook Medical Ctr
Health Sciences Tower, T18-040
Stony Brook, NY 11794-0001

Phone 631-450-0167

Mailing address

Po Box 1554
Stony Brook, NY 11790-0988

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery providers in Stony Brook, NY