Organization
DOUGLAS H BAILYN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS HARRY BAILYN M.D. (PRESIDENT)
(212) 777-1510
Entity
Organization
Contact information
Practice address
380 2ND AVE, SUITE 1002, NEW YORK, NY 10010-5615
(212) 777-1510
(212) 375-0539
Mailing address
47 PLAZA ST W, APT. 11A, BROOKLYN, NY 11217-3905
(212) 571-3331
(212) 375-0539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222452
NY
207RN0300X
Nephrology Physician
222452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02654117
—
NY
Enumeration date
07/30/2006
Last updated
04/02/2008
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