Provider Demographics
NPI:1598332843
Name:BAILEYS, CAROLYN M
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:M
Last Name:BAILEYS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S KNIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-5700
Mailing Address - Country:US
Mailing Address - Phone:607-743-3308
Mailing Address - Fax:
Practice Address - Street 1:23 MACON ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13903-2536
Practice Address - Country:US
Practice Address - Phone:607-743-3308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist