Robert Bailly, MD
Individual provider Active NPI Personal Emergency Response Attendant · Erieville, NY
NPI 1437564366 · NPPES record last updated Jun 30, 2014
Key facts
- NPI
- 1437564366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Emergency Response Attendant 146D00000X
- License
- 151243-1 (NY)
- Practice address
- 3576 N Lake Rd
Erieville, NY 13061-3105 - Phone
- (315) 662-7860
- Fax
- (315) 662-7860
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151243-1 | NY | MD | Personal Emergency Response Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 151243-1 | NY | Yes |
Addresses
Primary practice location
3576 N Lake Rd
Erieville, NY 13061-3105
Mailing address
3576 N Lake Rd
Erieville, NY 13061-3105
Phone (315) 662-7860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207L00000X | Other | NY | WPC |
Other providers in Erieville, NY
All providers in Erieville, NY · Personal Emergency Response Attendant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.