Provider Demographics
NPI:1235105099
Name:HASELKORN-LOMASKY, JOAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:
Last Name:HASELKORN-LOMASKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 MERRICK RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5487
Mailing Address - Country:US
Mailing Address - Phone:516-255-2044
Mailing Address - Fax:516-255-2045
Practice Address - Street 1:556 MERRICK RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5487
Practice Address - Country:US
Practice Address - Phone:516-255-2044
Practice Address - Fax:516-255-2045
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153067207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010820405OtherTAX ID
NY010820405OtherTAX ID
NYB18670Medicare UPIN