Provider Demographics
NPI:1780655571
Name:HAIGHT, DAVID HULEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HULEN
Last Name:HAIGHT
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 1:155 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4371
Mailing Address - Country:US
Mailing Address - Phone:212-772-9474
Mailing Address - Fax:212-737-9361
Practice Address - Street 1:155 E 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4371
Practice Address - Country:US
Practice Address - Phone:212-772-9474
Practice Address - Fax:212-737-9361
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148991207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B12338Medicare UPIN