Individual
MRS. EVELYN DARLENE HABERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3495 BAILEY AVE, VA WESTERN NEW YORK HEALTHCARE SYSTEM, BUFFALO, NY 14215-1129
(716) 862-8637
Mailing address
6140 GOTT CREEK TRL, EAST AMHERST, NY 14051-1922
(716) 862-8637
(716) 862-8640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302712-1
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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