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General NPI Number Information
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NPI Number | 1578686457
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Entity Type | Individual
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Provider Name | JOANNE HAYES N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 BELL CT
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City | RONKONKOMA
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State | NY
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Zip | 11779-4542
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Country | US
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Telephone | 631-467-5917
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Fax |
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Provider Business Mailing Address
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Address Line | 1190 OLD COUNTRY RD
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City | RIVERHEAD
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State | NY
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Zip | 11901-2066
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Country | US
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Telephone | 631-727-1818
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Fax | 631-727-7365
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F300927
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License Number State | NY
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