Individual
KYLE R BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
546 EASTERN PKWY, BROOKLYN, NY 11225-1604
(347) 773-1100
Mailing address
546 EASTERN PKWY, BROOKLYN, NY 11225-1604
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
668609
NY
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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