Provider Demographics
NPI:1164650693
Name:HAYE, GEORGIA NICOLA (RN)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:NICOLA
Last Name:HAYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E MOSHOLU PKWY N
Mailing Address - Street 2:APT. # D-41
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2923
Mailing Address - Country:US
Mailing Address - Phone:347-449-6169
Mailing Address - Fax:
Practice Address - Street 1:2102-06 BRONX PARK EAST
Practice Address - Street 2:APT. # 3-B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-239-4870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY445221-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse