Healthcare Provider Details

I. General information

NPI: 1558245381
Provider Name (Legal Business Name): HAAS OSTEOPATHIC MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 28TH ST STE 903
NEW YORK NY
10001-6181
US

IV. Provider business mailing address

150 W 28TH ST STE 903
NEW YORK NY
10001-6181
US

V. Phone/Fax

Practice location:
  • Phone: 917-710-5421
  • Fax:
Mailing address:
  • Phone: 917-710-5421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HILLARY HAAS
Title or Position: PHYSICIAN/FOUNDER
Credential: DO
Phone: 917-710-5421