Yohance Bailey, LPN

Individual provider Active NPI Licensed Practical Nurse · Vestal, NY

NPI 1851056840 · NPPES record last updated Nov 3, 2021

Key facts

NPI
1851056840
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
308981-01 (NY)
Practice address
305 Academy Dr
Vestal, NY 13850-2403
Phone
(917) 536-0844
NPI assigned
Nov 3, 2021
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

State licenses

LicenseStateTypeSpecialty
308981-01NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 308981-01 NY Yes

Addresses

Primary practice location

305 Academy Dr
Vestal, NY 13850-2403

Mailing address

305 Academy Dr
Vestal, NY 13850-2403
Phone (917) 536-0844

Other providers in Vestal, NY

All providers in Vestal, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.