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NPI Code Detail

MEDICARE: ISABELLA ROSE BAILEY

MEDICARE: ISABELLA ROSE 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
1235Z00000XSpeech-Language PathologistP140525NY

General Provider Information

NPI Number : 1720938269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA ROSE BAILEY
Provider Business Mailing Address
First Line : 352 GROS BLVD
Second Line :
City : HERKIMER
State : NY
Zip : 13350-1446
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 352 GROS BLVD
Second Line :
City : HERKIMER
State : NY
Zip : 13350-1446
Country : US
Telephone Number : 315-867-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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1700173952 — MRS. LISA FRANCINE BROUILLETTE OT/L
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Directions to “ ISABELLA ROSE BAILEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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