Haller, Chad Benjamin

Haller, Chad Benjamin is an individual health care provider with primary practice located at 3074 36Th St , Astoria NY 11103-4705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Haller, Chad Benjamin can be contacted via phone (718) 728-0224.

Contact Information

Primary practice address
3074 36Th St Astoria NY 11103-4705
Phone: (718) 728-0224
Fax: (718) 728-1626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 223411 New York

Profile Details

NPI number 1548251713
LBN Legal business name Haller, Chad Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jan 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548251713 NPPES
New York MEDICAID 2577791

Popular Providers