Individual
AMY B BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1300 ROANOKE AVE, RIVERHEAD, NY 11901-2031
(631) 548-6207
Mailing address
44 STOLL DRIVE, PO BOX 1223, JAMESPORT, NY 11947-1223
(631) 284-3114
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304566
NY
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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