Provider Demographics
NPI:1023428612
Name:BAILEY, ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15 S MAIN ST
Mailing Address - Street 2:SUITE 250 - FAMILY PRACTICE
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-6626
Mailing Address - Country:US
Mailing Address - Phone:716-488-1878
Mailing Address - Fax:716-661-4612
Practice Address - Street 1:15 S MAIN ST
Practice Address - Street 2:SUITE 250 - FAMILY PRACTICE
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-6626
Practice Address - Country:US
Practice Address - Phone:716-488-1878
Practice Address - Fax:716-661-4612
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY290504-01207Q00000X
NY00000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine