Individual
JUAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FIRST AVENUE AT 16TH STREET, NEW YORK, NY 10003-3314
(212) 420-3470
Mailing address
PO BOX 95000-2433, PHILADELPHIA, PA 19195-2433
(212) 420-3470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
148053
NY
207RI0200X
Infectious Disease Physician
Primary
148053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01495541
—
NY
Enumeration date
11/11/2005
Last updated
02/21/2019
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