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Individual

DOUGLAS HARRY BAILYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
380 2ND AVE, SUITE 1002, NEW YORK, NY 10010-5615
(212) 571-3331
(212) 375-0539
Mailing address
47 PLAZA ST W, APT. 11A, BROOKLYN, NY 11217-3905
(212) 571-3331
(212) 375-0539

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
222452
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02654117
NY
Enumeration date
06/05/2006
Last updated
04/02/2008
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