Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 160646 | NY |
N | 207YP0228X | Pediatric Otolaryngology | 160646 | NY |
NPI | 1952447351 |
---|---|
Provider Name | Joseph Haddad |
First Address | Tarrytown, NY 10591-5139 |
Second Address | New York, NY 10024-1459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 02/04/2019 |