Provider Demographics
NPI:1609016104
Name:HASELMAN, LINDA (RN,MA,CDE)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:HASELMAN
Suffix:
Gender:F
Credentials:RN,MA,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 AMSTERDAM AVE
Mailing Address - Street 2:BABCOCK RM 1030
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1716
Mailing Address - Country:US
Mailing Address - Phone:212-523-3764
Mailing Address - Fax:212-523-5613
Practice Address - Street 1:1111 AMSTERDAM AVE
Practice Address - Street 2:BABCOCK RM 1030
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1716
Practice Address - Country:US
Practice Address - Phone:212-523-3764
Practice Address - Fax:212-523-5613
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175039-1163W00000X
NY0932-5750163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator