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Organization
WINGSPAN PSYCHIATRIC, LLC
Active
Organization
WINGSPAN PSYCHIATRIC, LLC
Active
Parent organization
WINGSPAN PSYCHIATRIC LLC
Other names
Francis Hayden, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINGSPAN PSYCHIATRIC LLC
Authorized official
FRANCIS HAYDEN II MD (OWNER)
(914) 413-1553
Entity
Organization
Contact information
Practice address
138 S COLUMBUS AVE FL 1, MOUNT VERNON, NY 10553-1337
(914) 413-1553
(978) 701-6001
Mailing address
101 ELLWOOD AVE APT 4A, MOUNT VERNON, NY 10552-3428
(914) 413-1553
(917) 791-8239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
189845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01550791
—
NY
05
—
03438319
—
NY
Enumeration date
02/14/2012
Last updated
12/27/2020
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