Provider Demographics
NPI:1356648000
Name:MILTON O.C. HAYNES, M.D., P.C.
Entity Type:Organization
Organization Name:MILTON O.C. HAYNES, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:O C
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-744-7727
Mailing Address - Street 1:231 E 76TH ST
Mailing Address - Street 2:# 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2134
Mailing Address - Country:US
Mailing Address - Phone:212-744-7727
Mailing Address - Fax:212-249-4606
Practice Address - Street 1:231 E 76TH ST
Practice Address - Street 2:# 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2134
Practice Address - Country:US
Practice Address - Phone:212-744-7727
Practice Address - Fax:212-249-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-15
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109206207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B19661Medicare UPIN
A100040236Medicare PIN