Individual
MRS. HEATHER LYNN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
656 ELMWOOD AVE, BUFFALO, NY 14222-1836
(716) 883-0515
(716) 883-8764
Mailing address
656 ELMWOOD AVE, BUFFALO, NY 14222-1836
(716) 883-0515
(716) 883-8764
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0101091NYS
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81350009
—
NY
Enumeration date
09/26/2006
Last updated
10/27/2011
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