Healthcare Provider Details

I. General information

NPI: 1346334653
Provider Name (Legal Business Name): FRANCIS F. HAYDEN II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/31/2020
Certification Date: 12/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 MORRIS PARK AVE STE 2A
BRONX NY
10462-3705
US

IV. Provider business mailing address

101 ELLWOOD AVE APT 4A
MOUNT VERNON NY
10552-3428
US

V. Phone/Fax

Practice location:
  • Phone: 718-701-3285
  • Fax: 914-206-4726
Mailing address:
  • Phone: 914-413-1553
  • Fax: 917-791-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number189845
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number189845
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number189845
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: