Individual
DR. BETH P. BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
333 GLEN HEAD RD, SUITE 55, GLEN HEAD, NY 11545-1947
(516) 671-8101
(516) 671-3237
Mailing address
333 GLEN HEAD RD, SUITE 55, GLEN HEAD, NY 11545-1947
(516) 671-8101
(516) 671-3237
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206641-1
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
206641-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02384889
—
NY
Enumeration date
11/17/2006
Last updated
03/01/2012
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