| Laurence D. Haber, M.d.,p.c. | |
|
1000 Northern Blvd Ste 110 Great Neck NY 11021-5312 | |
| (516) 498-1122 | |
| (516) 466-6714 |
| Full Name | Laurence D. Haber, M.d.,p.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1000 Northern Blvd Ste 110, Great Neck, New York |
| Authorized Official Name and Position | Hilary Haber (OFFICE MANAGER) |
| Authorized Official Contact | 5164981122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence D. Haber, M.d.,p.c. 1000 Northern Blvd Ste 110 Great Neck NY 11021-5312 Ph: (516) 498-1122 | Laurence D. Haber, M.d.,p.c. 1000 Northern Blvd Ste 110 Great Neck NY 11021-5312 Ph: (516) 498-1122 |
| NPI Number | 1386823565 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Medicare PECOS PAC ID | 3870534126 |
|---|---|
| Medicare Enrollment ID | O20050517000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386823565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 169382-1 (New York) | Primary |
| Provider Name | Laurence D Haber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053319475 PECOS PAC ID: 9638121940 Enrollment ID: I20050520000212 |
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