Organization
FAIRWAY MANAGEMENT, LLC
Active
Organization
FAIRWAY MANAGEMENT, LLC
Active
Other names
inDeed Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EUGENE BAILEY MD (MEDICAL DIRECTOR)
(315) 682-0325
Entity
Organization
Contact information
Practice address
240 W SENECA ST, SUITE 8, MANLIUS, NY 13104-3401
(315) 682-0328
(315) 682-0295
Mailing address
240 W SENECA ST, SUITE 8, MANLIUS, NY 13104-3401
(315) 682-0328
(315) 682-0295
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D2071872
NY
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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