Individual
TAKIYAH J HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 N ASPEN RD, MIDDLETOWN, NY 10940-6807
(084) 579-8306
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 798-3066
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
846869
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408189
NY
Other
Enumeration date
09/26/2018
Last updated
02/23/2026
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