Individual
BAILEY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1000
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031140
NY
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2023
Last updated
02/27/2025
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