Habacker, Teresa Aimee

Habacker, Teresa Aimee is an sole proprietor health care provider with primary practice located at 5954 Route 25A , Wading River NY 11792-2001. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Habacker, Teresa Aimee can be contacted via phone (631) 473-4263.

Contact Information

Primary practice address
5954 Route 25A Wading River NY 11792-2001
Phone: (631) 473-4263
Fax: (631) 473-4260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 184539 New York
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 184539 New York

Profile Details

NPI number 1568552115
LBN Legal business name Habacker, Teresa Aimee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568552115 NPPES
New York MEDICAID 02925937

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