Individual
HAYLEY MARIE CECEILIA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10745 PA-18, ALBION, PA 16475-0001
(814) 756-5778
Mailing address
603 LAKEVIEW AVE, JAMESTOWN, NY 14701-3125
(716) 489-9253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025995
NY
363AM0700X
Medical Physician Assistant
MA062262
PA
Other
Enumeration date
01/06/2021
Last updated
06/10/2021
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