Healthcare Provider Details

I. General information

NPI: 1063432656
Provider Name (Legal Business Name): HAVIVA VELER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

505 EAST 70TH STREET HELMSLEY TOWER 3RD FLOOR, BOX 378
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 860-837-5890
  • Fax:
Mailing address:
  • Phone: 646-962-3410
  • Fax: 646-962-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD419341
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number242102
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberMD419341
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: