Individual
MR. EDWARD BAILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1 GUSTAVE LEVY PL, NEW YORK, NY 10029
(212) 241-6500
Mailing address
1 GUSTAVE LEVY PL, NEW YORK, NY 10029
(212) 241-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338613-1
NY
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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