Individual
JONATHAN A HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
264 OLD COUNTRY RD, MINEOLA, NY 11501-4212
(516) 663-2501
(516) 663-8558
Mailing address
PO BOX 95000-5560, PHILADELPHIA, PA 19195-5560
(888) 220-1235
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
044390
CT
2085R0001X
Radiation Oncology Physician
Primary
205401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01752987
—
NY
Enumeration date
06/08/2006
Last updated
07/31/2013
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