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Contact Information

TRAVIS M HAYDEN, PHYSICIAN ASSISTANT
4 COULTER RD
CLIFTON SPRINGS, NY14432
 Phone: 315-462-2267
 Fax: 315-462-2003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TRAVIS M HAYDEN · (Male)

NPI Number 1417911025
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 04/12/2006
Last updated 02/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 009141
  • NY Medicaid 161257754
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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