Individual
KYRA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 BAY RD, QUEENSBURY, NY 12804-3012
(518) 952-9032
(518) 252-6445
Mailing address
375 BAY RD, QUEENSBURY, NY 12804-3012
(518) 952-9032
(518) 252-6445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141437421
—
NY
05
—
1477695021
—
NY
Enumeration date
10/19/2017
Last updated
10/24/2019
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