Provider Demographics
NPI:1295710291
Name:BAILLARGEON, NEAL ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:ARTHUR
Last Name:BAILLARGEON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 766
Mailing Address - Street 2:90 BROAD ST
Mailing Address - City:KINDERHOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12106-0766
Mailing Address - Country:US
Mailing Address - Phone:518-758-7252
Mailing Address - Fax:518-758-1963
Practice Address - Street 1:11 ELM STREET
Practice Address - Street 2:
Practice Address - City:PHILMONT
Practice Address - State:NY
Practice Address - Zip Code:12565
Practice Address - Country:US
Practice Address - Phone:518-672-5401
Practice Address - Fax:518-672-5403
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2019-07-25
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Provider Licenses
StateLicense IDTaxonomies
NY161495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00942154Medicaid
NY00942154Medicaid
A63594Medicare UPIN