Individual
BRANDON BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3584 JEROME AVE, BRONX, NY 10467-1006
(718) 653-1537
(718) 228-6993
Mailing address
1491 WEST AVE APT 3F, BRONX, NY 10462-7313
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
7704-P
NY
Other
Enumeration date
12/27/2024
Last updated
01/03/2025
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