Individual
GERALD JAY HAUSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8 CENTURY HILL DR, LATHAM, NY 12110-2193
(518) 783-7173
(518) 783-5426
Mailing address
37 COVINGTON COURT, NISKAYUNA, NY 12309
(518) 377-6555
(518) 783-5426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1356241
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000497195003
BLUE SHIELD OF NE NY
—
01
—
10010052
CAP DIST PHYS HLTH PLAN
—
01
—
43694
GHIHMO
—
01
—
5976497
AETNA
—
01
—
922424
MVP HEALTH PLAN
—
01
—
9X6212
EMPIRE
—
Enumeration date
10/20/2006
Last updated
10/06/2010
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