Haber, Clark D.

Haber, Clark D. is an sole proprietor health care provider with primary practice located at 5115 Beach Channel Dr Peninsula Hospital Center, Far Rockaway NY 11691-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Haber, Clark D. can be contacted via phone (718) 734-2700.

Contact Information

Primary practice address
5115 Beach Channel Dr Peninsula Hospital Center Far Rockaway NY 11691-1042
Phone: (718) 734-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 129871 New York

Profile Details

NPI number 1639189905
LBN Legal business name Haber, Clark D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Sep 15th, 2010 - about 14 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 1639189905 NPPES
New York MEDICAID 01427292

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