MEDICARE: ELIZABETH HAILU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080N0001X	Neonatal-Perinatal Medicine Physician	237985	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750388351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HAILU M.D.

Provider Business Mailing Address
First Line	:	153 W 11TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-8305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 ROUTE 59
Second Line	:	STE 103A
City	:	SUFFERN
State	:	NY
Zip	:	10901-4927
Country	:	US
Telephone Number	:	800-207-5737
Fax Number	:	610-401-2100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1104989805 — MS. KATRENE MARIE DELANEY PT
Practice Location Address:

100 ROUTE 59 , SUITE 103
SUFFERN, NY
10901-4927

Practice Phone: 845-368-4111
Practice Fax: 845-368-4114

1730185059 — RITA FISCHER M.D.
Practice Location Address:

100 ROUTE 59 , STE 103A
SUFFERN, NY
10901-4927

Practice Phone: 800-207-5737
Practice Fax: 610-401-2100

1346246675 — ALEXANDRA IORDANESCU M.D.
Practice Location Address:

100 ROUTE 59 , STE 103A
SUFFERN, NY
10901-4927

Practice Phone: 800-207-5737
Practice Fax: 610-401-2100

1154306637 — TRACEY JAY KRZANOWSKI MD
Practice Location Address:

100 ROUTE 59 , SUITE 105
SUFFERN, NY
10901-4927

Practice Phone: 845-357-5775
Practice Fax: 845-357-5777

1679538045 — NYDIA ARZOLA MD
Practice Location Address:

100 ROUTE 59 , SUITE 105
SUFFERN, NY
10901-4927

Practice Phone: 845-357-5775
Practice Fax: 845-357-5777

1790733087 — PAUL BURNS M.D.
Practice Location Address:

100 ROUTE 59 , SUITE 105
SUFFERN, NY
10901-4927

Practice Phone: 845-357-5745
Practice Fax: 845-357-5751

Directions to “ ELIZABETH HAILU M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.