Provider Demographics
NPI:1508942046
Name:HAUSKNECHT, ARIC (MD)
Entity Type:Individual
Prefix:
First Name:ARIC
Middle Name:
Last Name:HAUSKNECHT
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 1:19 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3005
Mailing Address - Country:US
Mailing Address - Phone:212-239-2112
Mailing Address - Fax:212-239-4224
Practice Address - Street 1:19 E 37TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3005
Practice Address - Country:US
Practice Address - Phone:212-239-2112
Practice Address - Fax:212-239-4224
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190271204C00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01689216Medicaid
NY01689216Medicaid
NY04119Medicare PIN
NYG03718Medicare UPIN