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Individual
ILYSE D HABERMAN
Active
Individual
ILYSE D HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
073639
GA
207W00000X
Ophthalmology Physician
Primary
266052
NY
Other
Enumeration date
04/05/2011
Last updated
04/01/2021
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