Individual
ALICIA K BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 N 2ND ST, FULTON, NY 13069-1250
(315) 598-7105
(315) 598-4857
Mailing address
750 E ADAMS ST, REGIONAL ONCOLOGY CENTER, SYRACUSE, NY 13210-2342
(315) 464-8200
(315) 464-8206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220688
NY
207RH0003X
Hematology & Oncology Physician
2206881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02565644
—
NY
Enumeration date
09/20/2005
Last updated
11/09/2022
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