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NPI Code Detail

MEDICARE: BAILEY KWOLEK D.O.

MEDICARE: BAILEY KWOLEK D.O.
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
1207R00000XInternal Medicine Physician5151009751MI
2207R00000XInternal Medicine Physician303495NY

General Provider Information

NPI Number : 1972984656
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY KWOLEK D.O.
Provider Business Mailing Address
First Line : 106 SEMMEL RD
Second Line :
City : HONEOYE FALLS
State : NY
Zip : 14472-9756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 PARRISH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1793
Country : US
Telephone Number : 585-396-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2015
Last Update Date : 02/09/2026

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Directions to “ BAILEY KWOLEK D.O.” Practice Location

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