Individual
DAVID N BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-5222
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006287-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02102752
—
NY
Enumeration date
08/30/2006
Last updated
08/26/2013
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