Individual
TARA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
(718) 780-3287
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5942
(718) 780-3287
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008611-1
NY
Other
Enumeration date
12/03/2009
Last updated
01/09/2015
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