Provider Demographics
NPI:1215206750
Name:HAYMES, STANLEY M (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:M
Last Name:HAYMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 FLAMINGO DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3307
Mailing Address - Country:US
Mailing Address - Phone:631-265-0852
Mailing Address - Fax:
Practice Address - Street 1:19 FLAMINGO DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3307
Practice Address - Country:US
Practice Address - Phone:631-265-0852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077247207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology