Provider Demographics
NPI:1851300024
Name:HAYNES, MILTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:
Last Name:HAYNES
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 E 80TH ST
Mailing Address - Street 2:APT 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0170
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-06
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109206207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B19661Medicare UPIN
A400040244Medicare PIN