Individual
BRAD BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E 56TH ST RM 610, NEW YORK, NY 10022-3667
(122) 826-2322
Mailing address
120 E 56TH ST RM 610, NEW YORK, NY 10022-3667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06379201
NY
Other
Enumeration date
02/14/2022
Last updated
07/18/2024
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