Nathan Matthew Bailey, M.D.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Williamsvile, NY

NPI 1780438671 · NPPES record last updated Dec 23, 2024

Key facts

NPI
1780438671
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
850 Hopkins
Williamsvile, NY 14221
Phone
(716) 688-9641
Fax
(716) 829-2447
NPI assigned
Apr 16, 2024
Reactivated
Dec 23, 2024
Sex
Male
Sole proprietor
No

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

850 Hopkins
Williamsvile, NY 14221

Mailing address

850 Hopkins
Williamsvile, NY 14221
Phone (716) 688-9641

Other providers in Williamsvile, NY

All providers in Williamsvile, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.