Healthcare Provider Details

I. General information

NPI: 1144175654
Provider Name (Legal Business Name): TSU HAYMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 KINGS HWY
BROOKLYN NY
11234-2625
US

IV. Provider business mailing address

3201 KINGS HWY BSMT LAB
BROOKLYN NY
11234-2625
US

V. Phone/Fax

Practice location:
  • Phone: 718-252-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number018158-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: