Provider Demographics
NPI:1881958536
Name:HAYLING, ALICE MARY (MS SPEDU)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:MARY
Last Name:HAYLING
Suffix:
Gender:F
Credentials:MS SPEDU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5516 KINGS HWY
Mailing Address - Street 2:BROOKLYN
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5435
Mailing Address - Country:US
Mailing Address - Phone:718-791-4135
Mailing Address - Fax:718-629-2693
Practice Address - Street 1:5516 KINGS HWY
Practice Address - Street 2:BROOKLYN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5435
Practice Address - Country:US
Practice Address - Phone:718-791-4135
Practice Address - Fax:718-629-2693
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist