Individual
JORDAN HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1043 47TH AVE APT 3A, LONG ISLAND CITY, NY 11101-5434
(412) 818-9333
Mailing address
1043 47TH AVE APT 3A, LONG ISLAND CITY, NY 11101-5434
(412) 818-9333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
287925-1
NY
207P00000X
Emergency Medicine Physician
52277
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2014
Last updated
07/21/2022
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