MEDICARE: DEBORAH A HAYES FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	330094	NY

General Provider Information

NPI Number	:	1932289212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A HAYES FNP

Provider Business Mailing Address
First Line	:	169 DEEP LAKE RD
Second Line	:
City	:	FORESTPORT
State	:	NY
Zip	:	13338-4134
Country	:	US
Telephone Number	:	315-392-5541
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 MIDDLE SETTLEMENT RD
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5317
Country	:	US
Telephone Number	:	315-724-4990
Fax Number	:	315-797-3667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/09/2007

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