Individual
DR. PETER BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5892
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5892
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
143246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00046080501
UNIVERA PROVIDER#
NY
01
—
000912486001
BS WNY ID#
NY
05
—
00372225
—
NY
01
—
0189393590
BLUE CHOICE GROUP #
NY
05
—
01923266
—
NY
01
—
143246-7W
WORKER'S COMP#
NY
01
—
2222
BLUE SHIELD GROUP #
NY
01
—
5399029
GHI #
NY
01
—
7995191
AETNA PROVIDER #
NY
01
—
MDE164
PREFERRED CARE #
NY
Enumeration date
07/14/2006
Last updated
07/09/2007
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