National Provider Identifier
John Roger Bailey
John Roger Bailey is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (606) 216-1450.
Profile Overview
- NPI
- 1265687669
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 26, 2008
- Last Updated
- November 26, 2008
Practice Location
- 108 S Albany St Ste 5
- Ithaca, NY 14850-5446
Phone: (606) 216-1450
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1265687669
- Entity Type
- Individual
- Last Name
- Bailey
- First Name
- John
- Middle Name
- Roger
- Mailing Street Address
- 108 S Albany St Ste 5
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5446
- Mailing Country
- US
- Mailing Phone
- (606) 216-1450
- Mailing Fax
- (607) 216-1461
- Practice Street Address
- 108 S Albany St Ste 5
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5446
- Practice Country
- US
- Practice Phone
- (606) 216-1450
- Practice Fax
- (607) 216-1461
- Enumeration Date
- November 26, 2008
- Last Updated
- November 26, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)