Haberle-Kroog, Denise

Haberle-Kroog, Denise is an individual health care provider with primary practice located at 101 Hospital Rd , East Patchogue NY 11772-4870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Haberle-Kroog, Denise can be contacted via phone (631) 475-7680.

Contact Information

Primary practice address
101 Hospital Rd East Patchogue NY 11772-4870
Fax: (631) 475-7683
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 228990 New York

Profile Details

NPI number 1881774990
LBN Legal business name Haberle-Kroog, Denise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1881774990 NPPES
New York MEDICAID 02442280

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