Individual
DR. ROBERT BAILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3576 N LAKE RD, ERIEVILLE, NY 13061-3105
(315) 662-7860
(315) 662-7860
Mailing address
3576 N LAKE RD, ERIEVILLE, NY 13061-3105
(315) 662-7860
(315) 662-7860
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
151243-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207L00000X
WPC
NY
Enumeration date
06/30/2014
Last updated
06/30/2014
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