Healthcare Provider Details

I. General information

NPI: 1962817098
Provider Name (Legal Business Name): SUNNY JOSEPH HAFT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOLLY HILL LN STE 240
GREENWICH CT
06830-6074
US

IV. Provider business mailing address

55 HOLLY HILL LN STE 240
GREENWICH CT
06830-6074
US

V. Phone/Fax

Practice location:
  • Phone: 877-925-3637
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number83332
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: