Individual
ITZHAK C HAIMOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 GREAT NECK ROAD, GREAT NECK, NY 11021
(516) 487-4464
(516) 487-4950
Mailing address
170 GREAT NECK ROAD, GREAT NECK, NY 11021
(516) 487-4464
(516) 487-4950
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
129650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008626
—
NY
Enumeration date
07/05/2005
Last updated
04/01/2008
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