Organization
INNERACTIVE WELLNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE BAILEY MD (MEDICAL DIRECTOR)
(315) 655-1055
Entity
Organization
Contact information
Practice address
132 ALBANY ST, CAZENOVIA, NY 13035-1231
(315) 655-1055
(315) 207-3021
Mailing address
132 ALBANY ST, CAZENOVIA, NY 13035-1231
(315) 655-1055
(315) 207-3021
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
33D1057519
NY
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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