Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 176974-1 | NY |
N | 111NI0900X | Internist | 176974-1 | NY |
N | 207RG0100X | Gastroenterologist | 176974-1 | NY |
NPI | 1053337311 |
---|---|
Provider Name | Dr. Ellen Haig |
First Address | Rockville Centre, NY 11570-5775 |
Second Address | Rockville Centre, NY 11570-5775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03G512 | EMPIRE BCBS (01) | NY |
1478104 | UNITED HEALTHCARE (01) | NY |
AP512 | OXFORD HEALTH PLANS (01) | NY |
F20090 | (02) | NY |