Healthcare Provider Details

I. General information

NPI: 1720320021
Provider Name (Legal Business Name): HILLARY C HAAS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2013
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:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number330566-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number330566-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: