Provider Demographics
NPI:1326066424
Name:HABER, EUGENE CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:CURTIS
Last Name:HABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:976 BALLTOWN RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-6428
Practice Address - Country:US
Practice Address - Phone:518-393-0391
Practice Address - Fax:518-372-3281
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051130000013OtherFIDELIS
NY47338OtherGHI/HMO
NY000401704001OtherBSNENY
NY692021OtherEMPIRE BC
NY08305OtherMVP
NY10000829OtherCDPHP
NY01233009Medicaid
NY7954227OtherAETNA
NY200224OtherSENIOR WHOLE HEALTH
NY47338OtherGHI/HMO
NY56823KMedicare ID - Type UnspecifiedMEDICARE