| Doctor Name: | AMY B BAILEY |
| NPI Number: | 1104158088 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 304566 |
| Business Practice Address: | 1300 Roanoke Ave Riverhead, NY - 119012031 |
| Business Phone Number: | 6315486207 |
| Business Fax Number: | |
| Mailing Address: | 44 Stoll Drive, Po Box 1223 JAMESPORT |
| State: | NY |
| Postal Code: | 119471223 |
| Phone Number: | 6312843114 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 304566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |