Individual
CARLY BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(516) 749-5406
Mailing address
480 FOREST AVE, LOCUST VALLEY, NY 11560-2151
(516) 749-5406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025096
NY
Other
Enumeration date
06/25/2020
Last updated
08/11/2025
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