Individual
DR. JEANETTE HASLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7391
Mailing address
105 W 29TH ST APT 28B, NEW YORK, NY 10001-5733
(847) 840-4608
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125052797
IL
207P00000X
Emergency Medicine Physician
Primary
269427
NY
207P00000X
Emergency Medicine Physician
55662-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125052797
ILLINOIS LICENSE NUMBER
IL
Enumeration date
10/01/2008
Last updated
07/21/2022
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