Most Relevant Information
Provider Data
| NPI Number: | 1003560046 |
| Provider Name: | HAILEY NICOLE BYNON |
| Entity Type: | Individual |
| Taxonomy Code: | 224ZF0002X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 024920 |
Most Important Dates
| Enumeration Date: | 02/08/2022 |
| Last Updated: | 02/08/2022 |
Provider Practice Location
10315 101ST ST
OZONE PARK
NY
114171707
Practice Location Phone/Fax
| Phone: | 7188433333 |
| Fax: |
Provider Mailing Location
3 GARDINERS RD
SOUND BEACH
NY
117892427
Provider Mailing Phone/Fax
| Phone: | 6316645347 |
| Fax: |