Provider Demographics
NPI:1154490332
Name:HAYES, MARGARET I (PT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HAYES
Suffix:I
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DITCH PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:MONTAUK
Mailing Address - State:NY
Mailing Address - Zip Code:11954-5200
Mailing Address - Country:US
Mailing Address - Phone:631-668-4317
Mailing Address - Fax:631-668-4883
Practice Address - Street 1:38 S ETNA AVE
Practice Address - Street 2:
Practice Address - City:MONTAUK
Practice Address - State:NY
Practice Address - Zip Code:11954-5347
Practice Address - Country:US
Practice Address - Phone:631-668-4317
Practice Address - Fax:631-668-4883
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021926-1225100000X
NY004885-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQP8161Medicare PIN