Individual
TERESA MARGARET HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
160 N MIDLAND AVE, NYACK, NY 10960-1912
(845) 920-1990
(845) 920-1986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330026
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03017223
—
NY
Enumeration date
09/29/2005
Last updated
01/12/2017
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