Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 1262 | SC |
N | 207Q00000X | Family Doctor | 447 | NE |
N | 207QS0010X | Family Doctor - Sports Medicine | 2012-731 | NC |
Y | 207QS0010X | Family Doctor - Sports Medicine | 288256 | NY |
NPI | 1225001993 |
---|---|
Provider Name | Dr. Matthew Stephen Hayes |
First Address | New York, NY 10035-3832 |
Second Address | New York, NY 10035-3832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 11/02/2019 |