Provider Demographics
NPI:1932289212
Name:HAYES, DEBORAH A (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:HAYES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 DEEP LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FORESTPORT
Mailing Address - State:NY
Mailing Address - Zip Code:13338-4134
Mailing Address - Country:US
Mailing Address - Phone:315-392-5541
Mailing Address - Fax:
Practice Address - Street 1:4301 MIDDLE SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5317
Practice Address - Country:US
Practice Address - Phone:315-724-4990
Practice Address - Fax:315-797-3667
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330094363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA6445Medicare PIN
NYP06462Medicare UPIN