Provider Demographics
NPI:1821180290
Name:HAUSER, BARBARA ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELAINE
Last Name:HAUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1365 WASHINGTON AVE
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-1098
Mailing Address - Country:US
Mailing Address - Phone:518-458-7212
Mailing Address - Fax:518-689-0258
Practice Address - Street 1:1365 WASHINGTON AVE
Practice Address - Street 2:SUITE #301
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-1098
Practice Address - Country:US
Practice Address - Phone:518-458-7212
Practice Address - Fax:518-689-0258
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY197219207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG37898Medicare UPIN
NYCC6554Medicare ID - Type Unspecified