Provider Demographics
NPI:1467999706
Name:HAYS, SARAH VAUGHN (LAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:VAUGHN
Last Name:HAYS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:SADIE
Other - Middle Name:
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:120 BRINDLEY ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-5035
Mailing Address - Country:US
Mailing Address - Phone:607-862-6228
Mailing Address - Fax:
Practice Address - Street 1:120 BRINDLEY ST STE 1
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5035
Practice Address - Country:US
Practice Address - Phone:607-862-6228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003957171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist