Individual
MR. JEFFREY CALEB HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVENUE, ROCHESTER, NY 14621
(585) 922-4031
(585) 922-2971
Mailing address
1425 PORTLAND AVENUE, ROCHESTER, NY 14621
(585) 922-4031
(585) 922-2971
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
252834-1
NY
2085R0001X
Radiation Oncology Physician
MT184278
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03106163
—
NY
Enumeration date
12/28/2006
Last updated
12/20/2012
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