Organization
BAILEY HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORA CARRERO (DIRECTOR OF CREDENTIALING)
(718) 408-6522
Entity
Organization
Contact information
Practice address
145 E 125TH ST FL 4, 4TH FLOOR, NEW YORK, NY 10035-1714
(718) 277-0386
(929) 480-9133
Mailing address
145 E 125TH ST FL 4, NEW YORK, NY 10035-1714
(718) 408-6522
(929) 480-9133
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
8124001A
NY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02822911
—
NY
Enumeration date
05/14/2007
Last updated
10/27/2025
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