Provider Demographics
NPI:1316106438
Name:BAILEY-MALETTA, APRIL M (DPM)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:M
Last Name:BAILEY-MALETTA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3710
Mailing Address - Country:US
Mailing Address - Phone:631-991-8847
Mailing Address - Fax:
Practice Address - Street 1:105 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3710
Practice Address - Country:US
Practice Address - Phone:631-991-8847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006245213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery