Individual
SHANA HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1644 ANTHONY AVE APT 1J, BRONX, NY 10457-8045
(646) 258-7177
Mailing address
1644 ANTHONY AVE APT 1J, BRONX, NY 10457-8045
(646) 258-7177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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