Individual
BAILA FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1311 55TH ST, BROOKLYN, NY 11219-4202
(718) 851-6100
(718) 228-9264
Mailing address
1311 55TH ST, BROOKLYN, NY 11219-4202
(718) 851-6100
(718) 228-9264
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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