Individual
BAILEY MINGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
334 W STATE ST, ITHACA, NY 14850-5432
(607) 273-5500
Mailing address
3349 MUNSON RD, INTERLAKEN, NY 14847-9566
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
891968
NY
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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