Provider Demographics
NPI:1407178916
Name:HAAS, GAYATHRI (R N)
Entity Type:Individual
Prefix:
First Name:GAYATHRI
Middle Name:
Last Name:HAAS
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROXBURY DR E APT 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1433
Mailing Address - Country:US
Mailing Address - Phone:914-514-0085
Mailing Address - Fax:
Practice Address - Street 1:6 ROXBURY DR E APT 2
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1433
Practice Address - Country:US
Practice Address - Phone:914-514-0085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY621179 1163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health