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1790263705
FORREST MICHAEL BAILEY
STATEN ISLAND, NY
NPI
1790263705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
FORREST MICHAEL BAILEY PA
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
FORREST MICHAEL BAILEY PA
380 LIBERTY AVE
STATEN ISLAND, NY 10305-2214
Phone number: 757-513-3012
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