Individual
FORREST MICHAEL BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
380 LIBERTY AVE, STATEN ISLAND, NY 10305-2214
(757) 513-3012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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