Lookup NPI Numbers from the NPI Registry
NPI Profile for CLEO BAILEY BLAGROVE in NEW YORK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X | |||
Gerontology |
163WG0600X |
| NPI # | 1801478177 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/26/2021 | |
| Last updated | 04/27/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CLEO BAILEY BLAGROVE
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CLEO BAILEY BLAGROVE