Provider Demographics
NPI:1629958764
Name:HAYES, TIONA ANTOINETTE
Entity type:Individual
Prefix:
First Name:TIONA
Middle Name:ANTOINETTE
Last Name:HAYES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 E 93RD ST APT A320
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2311
Mailing Address - Country:US
Mailing Address - Phone:347-569-1358
Mailing Address - Fax:
Practice Address - Street 1:60 E 93RD ST APT A320
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2311
Practice Address - Country:US
Practice Address - Phone:347-569-1358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator