Individual
DR. KAITLIN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
(631) 376-0055
(631) 376-0099
Mailing address
404 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
(631) 376-0055
(631) 376-0099
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
304052-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
07/11/2023
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