Provider Demographics
NPI:1053531509
Name:HELEN HAYES HOSPITAL
Entity type:Organization
Organization Name:HELEN HAYES HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PAGANO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:845-786-4267
Mailing Address - Street 1:507 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-2345
Mailing Address - Country:US
Mailing Address - Phone:845-641-1039
Mailing Address - Fax:
Practice Address - Street 1:51 S ROUTE 9W # 55
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993-1055
Practice Address - Country:US
Practice Address - Phone:845-786-4000
Practice Address - Fax:845-786-4022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016495-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty