Organization
BAILEY OUTPATIENT MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIMITRA DENISE PALLIS (DIRECTOR OF CREDENTIALING)
(201) 874-9084
Entity
Organization
Contact information
Practice address
2901 BAYVIEW AVE, BALDWIN, NY 11510-4451
(516) 342-3422
(347) 331-0526
Mailing address
PO BOX 529, BALDWIN, NY 11510-0529
(718) 601-1713
(718) 601-1712
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NJ
Other
Enumeration date
07/17/2018
Last updated
08/04/2021
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