Individual
ELIZABETH A HAENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
50 MEADOW GLEN RD, NORTHPORT, NY 11768-2711
(631) 262-0849
(631) 262-0849
Mailing address
50 MEADOW GLEN RD, NORTHPORT, NY 11768-2711
(631) 262-3331
(631) 262-0849
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004746
NY
Other
Enumeration date
01/01/2007
Last updated
04/15/2011
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