Individual
MRS. AMANDA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 HIGH ST STE 301, HUNTINGTON, NY 11743-3417
(631) 423-7700
(631) 423-7706
Mailing address
41 CEDAR AVE, FARMINGDALE, NY 11735-3802
(516) 424-4149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2621630
NY
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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