Healthcare Provider Details

I. General information

NPI: 1235807926
Provider Name (Legal Business Name): KRISTEN HAYES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4277 MIDDLE SETTLEMENT RD
NEW HARTFORD NY
13413-5315
US

IV. Provider business mailing address

4277 MIDDLE SETTLEMENT RD
NEW HARTFORD NY
13413-5315
US

V. Phone/Fax

Practice location:
  • Phone: 315-735-6484
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberF347745
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: