Basic Information
| Provider Information | |||||||||
| NPI: | 1720266927 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAAG MEDICAL PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 SENECA ST | ||||||||
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| City: | HORNELL | ||||||||
| State: | NY | ||||||||
| PostalCode: | 148431312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6073241372 | ||||||||
| FaxNumber: | 6073241374 | ||||||||
| Practice Location | |||||||||
| Address1: | 450 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | WARSAW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 145691043 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5855584189 | ||||||||
| FaxNumber: | 5853821863 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/11/2008 | ||||||||
| LastUpdateDate: | 11/12/2021 | ||||||||
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| AuthorizedOfficialLastName: | HAAG | ||||||||
| AuthorizedOfficialFirstName: | REED | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5855930400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 191829-1 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.