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NPI Code Detail

MEDICARE: JEAN CLAUDE BAYLE MD

MEDICARE: JEAN CLAUDE BAYLE 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
1208600000XSurgery Physician153648NY

General Provider Information

NPI Number : 1003854126
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN CLAUDE BAYLE MD
Provider Business Mailing Address
First Line : 3083 29TH ST
Second Line : D9
City : LONG ISLAND CITY
State : NY
Zip : 11102-2744
Country : US
Telephone Number : 718-545-6987
Fax Number :
Provider Business Practice Location Address
First Line : 2510 30TH AVE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11102-2448
Country : US
Telephone Number : 718-267-4245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 07/08/2007

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