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Individual

ARTISHA HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4238 MERRICK RD, MASSAPEQUA, NY 11758-6016
(516) 900-1977
Mailing address
4238 MERRICK RD, MASSAPEQUA, NY 11758-6016

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
769190
NY

Other

Enumeration date
06/20/2019
Last updated
06/20/2019
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