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NPI Code Detail

MEDICARE: DR. LAUREN ELISABETH HABERMANN MD

MEDICARE: DR. LAUREN ELISABETH HABERMANN MD
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
1208000000XPediatrics Physician323970NY

General Provider Information

NPI Number : 1811516818
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN ELISABETH HABERMANN MD
Provider Business Mailing Address
First Line : 475 48TH AVE PH 3709
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11109-5529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1184 5TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10029-6503
Country : US
Telephone Number : 212-241-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 03/16/2026

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