Organization
DAVID W. BAILEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WITTNER BAILEY M.D. (PRESEDENT)
(716) 373-0991
Entity
Organization
Contact information
Practice address
2216 W STATE ST, OLEAN, NY 14760-1922
(716) 373-0991
(716) 373-0992
Mailing address
2216 W STATE ST, OLEAN, NY 14760-1922
(716) 373-0991
(716) 373-0992
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
133750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00523973
—
NY
Enumeration date
04/05/2011
Last updated
04/05/2011
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