| NPI Details | |
|---|---|
| NPI | 1437306776 |
| Gender | Female |
| Enumeration Date | 08/19/2008 |
| Last Updated | 08/19/2008 |
| Entity Type | Individual |
| Active | Over 9 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 |
| Remove 1437306776 NPI Number | |
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.
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