Individual
SAMUEL HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2618 AVENUE S, BROOKLYN, NY 11229-2539
(917) 817-6046
(212) 681-6698
Mailing address
2618 AVENUE S, BROOKLYN, NY 11229-2539
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7352-1
NY
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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