Individual
PAMELA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 WHITETAIL DR, ITHACA, NY 14850-9458
(646) 483-8655
Mailing address
50 WHITETAIL DR, ITHACA, NY 14850-9458
(646) 483-8655
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340113-1
NY
Other
Enumeration date
02/19/2014
Last updated
05/12/2014
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