Haynes, Takiyah J

Haynes, Takiyah J is an sole proprietor health care provider with primary practice located at 3 N Aspen Rd , Middletown NY 10940-6807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Haynes, Takiyah J can be contacted via phone (084) 579-8306.

Contact Information

Primary practice address
3 N Aspen Rd Middletown NY 10940-6807
Phone: (084) 579-8306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 408189 New York

Profile Details

NPI number 1467937458
LBN Legal business name Haynes, Takiyah J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2018
Last updated Feb 23rd, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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