Individual
DR. BRIAN SCOTT HAFTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3713 E TREMONT AVE, BRONX, NY 10465-2054
(718) 792-4878
(347) 851-6756
Mailing address
3713 E TREMONT AVE, BRONX, NY 10465-2054
(718) 792-4878
(347) 851-6756
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
203113
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06843400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043695012
TAX ID #
NY
01
—
106134500
US DEPT OF LABOR
—
01
—
P2879965
OXFORD PROV # OUT OF NETW
—
01
—
WEK031
GROUP PROVIDER NUMBER
—
Enumeration date
09/27/2006
Last updated
05/18/2015
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