Bailey, Alyza D

Bailey, Alyza D is an sole proprietor health care provider with primary practice located at 1500 Route 112 Bldg 4 Suite101, Port Jefferson Station NY 11776. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bailey, Alyza D can be contacted via phone (631) 574-8354.

Contact Information

Primary practice address
1500 Route 112 Bldg 4 Suite101 Port Jefferson Station NY 11776
Phone: (631) 574-8354
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 096940 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 094350 New York

Profile Details

NPI number 1730747320
LBN Legal business name Bailey, Alyza D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2019
Last updated Jun 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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