Individual
DENISE HABERLE-KROOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
101 HOSPITAL RD, EAST PATCHOGUE, NY 11772-4870
(631) 475-7680
(631) 475-7683
Mailing address
250 PATCHOGUE YAPHANK RD, SUITE 3, EAST PATCHOGUE, NY 11772-4800
(631) 475-7680
(631) 475-7683
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
228990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02442280
—
NY
Enumeration date
10/16/2006
Last updated
07/08/2007
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