Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 267061 | NY |
N | 111NI0900X | Internist | 267061 | NY |
N | 207R00000X | Internist | MD443688 | PA |
N | 111NI0900X | Internist | MD443688 | PA |
N | 207RC0200X | Critical Care Medicine | 267061 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 267061 | NY |
Y | 207RP1001X | Pulmonary Disease | 267061 | NY |
NPI | 1245466051 |
---|---|
Provider Name | Dr. Bradley Hayward |
First Address | New York, NY 10065-8722 |
Second Address | New York, NY 10065-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2009 |
Last Update Date | 19/06/2019 |