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NPI Code Detail

MEDICARE: DR. BRENDA BAI OD

MEDICARE:  DR. BRENDA  BAI  OD
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
1152W00000XOptometristTUV006511-1NY

General Provider Information

NPI Number : 1982810529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENDA BAI OD
Provider Business Mailing Address
First Line : 1320 ALBANY POST RD
Second Line :
City : CROTON ON HUDSON
State : NY
Zip : 10520-1557
Country : US
Telephone Number : 914-271-5023
Fax Number : 914-271-0823
Provider Business Practice Location Address
First Line : 3133 E MAIN ST
Second Line :
City : MOHEGAN LAKE
State : NY
Zip : 10547-1521
Country : US
Telephone Number : 914-526-1110
Fax Number : 914-526-1112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 07/27/2016

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Directions to “ DR. BRENDA BAI OD” Practice Location

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