Provider Demographics
NPI:1275606782
Name:HABER, CALVIN H (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:H
Last Name:HABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HICKORY RD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1829
Mailing Address - Country:US
Mailing Address - Phone:516-569-2311
Mailing Address - Fax:
Practice Address - Street 1:1 HICKORY RD
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1829
Practice Address - Country:US
Practice Address - Phone:516-569-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0893212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10639Medicare UPIN
NY50424Medicare ID - Type Unspecified