Provider Demographics
NPI:1164160107
Name:BOOKBINDER, HALEY ANN (PA-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ANN
Last Name:BOOKBINDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MAINE AVE APT A21
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3669
Mailing Address - Country:US
Mailing Address - Phone:401-473-7105
Mailing Address - Fax:
Practice Address - Street 1:75 MAINE AVE APT A21
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3669
Practice Address - Country:US
Practice Address - Phone:401-473-7105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant