Individual
JENNIFER WHALEN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 SMITH DRIVE, CORINTH, NY 12822-1314
(518) 654-7680
(518) 654-7695
Mailing address
200 SMITH DRIVE, CORINTH, NY 12822-1314
(518) 654-7680
(518) 654-7695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
187311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01700898
—
NY
01
—
P00010319
RR MEDICARE
NY
Enumeration date
10/13/2005
Last updated
10/20/2023
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