National Provider Identifier

Travis M. Hayden, PHYSICIAN ASSISTANT

Travis M. Hayden, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Clifton Springs, NY and a listed phone number of (315) 462-2267.

NPI 1417911025Clifton Springs, NYPhysician Assistant

Profile Overview

NPI
1417911025
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 12, 2006
Last Updated
February 05, 2010

Practice Location

  • 4 Coulter RD
  • Clifton Springs, NY 14432

Phone: (315) 462-2267

Mailing Address

  • 100 White Spruce Blvd
  • Rochester, NY 14623

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1417911025
Entity Type
Individual
Last Name
Hayden
First Name
Travis
Middle Name
M.
Credential
PHYSICIAN ASSISTANT
Mailing Street Address
100 White Spruce Blvd
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623
Mailing Country
US
Mailing Phone
(585) 272-0700
Mailing Fax
(585) 272-8356
Practice Street Address
4 Coulter RD
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432
Practice Country
US
Practice Phone
(315) 462-2267
Practice Fax
(315) 462-2003
Enumeration Date
April 12, 2006
Last Updated
February 05, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)
Other Identifiers
161257754 (NY)