Healthcare Provider Details

I. General information

NPI: 1992523492
Provider Name (Legal Business Name): BAILEY HUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

125 HIGHVIEW AVE
EASTCHESTER NY
10709-5432
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-1908
  • Fax:
Mailing address:
  • Phone: 914-787-0370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number129158
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: