Provider Demographics
NPI:1376816447
Name:HASKELL, LLOYD PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:PETER
Last Name:HASKELL
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 1:37 NEW DORP PLZ N
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2924
Mailing Address - Country:US
Mailing Address - Phone:908-672-4913
Mailing Address - Fax:
Practice Address - Street 1:4 UPS N DOWNS CT
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5769
Practice Address - Country:US
Practice Address - Phone:908-782-0493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136002207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine