Doctor Name: | MS. MADELYNE S BAILEY |
NPI Number: | 1053600619 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | P020390 |
Business Practice Address: | 26 West 9th St. Suite 3-c 1 Christopher St. Suite 1-a Nyc, NY - 10011 |
Business Phone Number: | 9177219195 |
Business Fax Number: | |
Mailing Address: | 26 West 9th St. Suite 3-c, 1 Christopher St. Suite 1-a NEW YORK CITY |
State: | NY |
Postal Code: | 10011 |
Phone Number: | 9177219195 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P020390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |