Provider Demographics
NPI:1346330651
Name:ARONSON, HAYES ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAYES
Middle Name:ALLEN
Last Name:ARONSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:HAYES
Other - Middle Name:ALLEN
Other - Last Name:ARONSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:515 COLUMBIA DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-3302
Mailing Address - Country:US
Mailing Address - Phone:607-770-1122
Mailing Address - Fax:607-770-1176
Practice Address - Street 1:515 COLUMBIA DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-3302
Practice Address - Country:US
Practice Address - Phone:607-770-1122
Practice Address - Fax:607-770-1176
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY370441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice