Douglas H Bailyn, Md, Pc | |
380 2nd Ave Suite 1002 New York NY 10010-5615 | |
(212) 777-1510 | |
(212) 375-0539 |
Full Name | Douglas H Bailyn, Md, Pc |
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Speciality | Internal Medicine |
Location | 380 2nd Ave, New York, New York |
Authorized Official Name and Position | Douglas Harry Bailyn (PRESIDENT) |
Authorized Official Contact | 2127771510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Douglas H Bailyn, Md, Pc 47 Plaza St W Apt. 11a Brooklyn NY 11217-3905 Ph: (212) 571-3331 | Douglas H Bailyn, Md, Pc 380 2nd Ave Suite 1002 New York NY 10010-5615 Ph: (212) 777-1510 |
NPI Number | 1710992482 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 04/02/2008 |
Medicare PECOS PAC ID | 0547263881 |
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Medicare Enrollment ID | O20060807000223 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710992482 | NPI | - | NPPES |
02654117 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 222452 (New York) | Primary |
207RN0300X | Internal Medicine - Nephrology | 222452 (New York) | Secondary |
Provider Name | Douglas Bailyn |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1306885470 PECOS PAC ID: 9739120080 Enrollment ID: I20050517000415 |
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