Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | F347745 | NY |
NPI | 1235807926 |
---|---|
Provider Name | Kristen Hayes |
First Address | New Hartford, NY 13413-5315 |
Second Address | New Hartford, NY 13413-5315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2021 |
Last Update Date | 24/01/2022 |