MEDICARE: ALEXANDRA BAILIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	318735	NY
2	104100000X	Social Worker	124808	NY

General Provider Information

NPI Number	:	1609371251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA BAILIN MD

Provider Business Mailing Address
First Line	:	6614 AVENUE U STE 93636
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6021
Country	:	US
Telephone Number	:	203-823-8236
Fax Number	:

Provider Business Practice Location Address
First Line	:	6614 AVENUE U STE 93636
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6021
Country	:	US
Telephone Number	:	203-823-8236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	12/12/2025

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