NPI 1801478177 · live from the CMS NPI Registry
Cleo Bailey-Blagrove
Registered Nurse, General Practice in New York, NY. National Provider Identifier 1801478177, active.
NPI record
| NPI | 1801478177 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 515 Audubon Ave, New York, NY 10040 |
| Practice phone | 212-342-9250 |
| Mailing address | 515 Audubon Ave Ste 209, New York, NY 10040 |
| Enumerated | April 26, 2021 |
| Last updated | April 27, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology | 163WG0600X | 597436 (NY) |
| Registered Nurse, General Practice primary | 163WG0000X | 597436 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.