Individual
CLARK D. HABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5115 BEACH CHANNEL DR, PENINSULA HOSPITAL CENTER, FAR ROCKAWAY, NY 11691-1042
(718) 734-2700
Mailing address
5115 BEACH CHANNEL DR, PENINSULA HOSPITAL CENTER, FAR ROCKAWAY, NY 11691-1042
(718) 734-2700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
129871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01427292
—
NY
Enumeration date
08/09/2006
Last updated
09/15/2010
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