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NPI Code Detail

MEDICARE: MS. CLAUDIA NICOLE BAILEY

MEDICARE: MS. CLAUDIA NICOLE BAILEY
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
1363LF0000XFamily Nurse Practitioner0199978NY

General Provider Information

NPI Number : 1326534777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDIA NICOLE BAILEY
Provider Business Mailing Address
First Line : 471 MARILYN DR
Second Line :
City : UTICA
State : NY
Zip : 13502-2135
Country : US
Telephone Number : 917-653-7383
Fax Number :
Provider Business Practice Location Address
First Line : 37 MAIN ST
Second Line :
City : WHITESBORO
State : NY
Zip : 13492-1034
Country : US
Telephone Number : 315-624-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 07/09/2018

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Directions to “ MS. CLAUDIA NICOLE BAILEY ” Practice Location

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