Individual
DR. HAYLEY KMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
727 N BROADWAY STE B1, MASSAPEQUA, NY 11758-2348
(800) 871-5491
Mailing address
2622 WILSON AVE, BELLMORE, NY 11710-3456
(518) 847-2364
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68-P138516-01
NY
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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