Individual
MR. GREGORY B HABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 1ST AVE # HCC4G, NEW YORK, NY 10016-6402
(646) 501-2465
Mailing address
100 EAST 77TH STREET, NYC, NY 10021
(212) 434-6279
(212) 434-2446
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
P36094
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087161
GHI HMO
—
01
—
180865P
HIP
—
01
—
2458969
UNITED HEALTH CARE
—
01
—
2499048
GHI PPO
—
01
—
3680094
AETNA HMO
—
01
—
4V3021
BCBS
—
01
—
7817592
AETNA PPO
—
01
—
P3462297
OXFORD
—
Enumeration date
01/17/2007
Last updated
04/09/2021
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