Individual
ADAM ODELL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1899
(315) 488-5111
Mailing address
105 N WILLOW ST APT 3, LIVERPOOL, NY 13088-5567
(405) 509-4559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019011886
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
820830
NY
Other
Enumeration date
12/09/2020
Last updated
07/23/2021
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