Individual
AMY HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
125 GLENWOOD RD, GLENWOOD LANDING, NY 11547-3005
(516) 801-0465
Mailing address
133 WALTON ST, SYRACUSE, NY 13202-2246
(315) 314-7335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264694
NY
Other
Enumeration date
10/03/2011
Last updated
08/16/2012
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