| Douglas Bailyn Mbr | |
|
111 Broadway Suite 1302 New York NY 10006-1901 | |
| (212) 777-1510 | |
| Not Available |
| Full Name | Douglas Bailyn Mbr |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Broadway, New York, New York |
| Authorized Official Name and Position | Brenda Loper (MANAGER) |
| Authorized Official Contact | 2127771510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Bailyn Mbr 111 Broadway Suite 1302 New York NY 10006-1901 Ph: (212) 777-1510 | Douglas Bailyn Mbr 111 Broadway Suite 1302 New York NY 10006-1901 Ph: (212) 777-1510 |
| NPI Number | 1982039129 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982039129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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