Organization
ELIZABETH HAENI DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN HAENI DPM (OWNER)
(631) 262-3331
Entity
Organization
Contact information
Practice address
50 MEADOW GLEN RD, NORTHPORT, NY 11768-2711
(631) 262-3331
(631) 262-3331
Mailing address
50 MEADOW GLEN RD, NORTHPORT, NY 11768-2711
(631) 262-3331
(631) 262-3331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
N004746
NY
332BC3200X
Customized Equipment (DME)
Primary
N004746
NY
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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