Susan Bailly

NPI 1437306776 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1437306776
Gender Female
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
87 WASHINGTON ST
RENSSELAER NY, 12144-2613, US
Phone (518) 449-1142
Fax
Business Location
POX 148
RENSSELAER NY, 12144, US
Phone (518) 449-1142
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 088106
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According to our database, Susan Bailly NPI is 1437306776, taxonomy code is 164W00000X and license number is 088106, license state is located at New York. Susan Bailly physically located at 87 Washington St, Rensselaer NY, 12144-2613. NPI Number Susan Bailly has the Individual type.

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1437306776 NPI number is provided on an as is basis without warranty of any kind. 1437306776 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Bailly are for informational purposes only.