Clark Douglas Haber (NPI# 1639189905, PAC ID# 3678462637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1639189905 |
| PAC ID by PECOS | 3678462637 |
| Professional Enrollment ID | I20040315001239 |
| Full Name | Clark Douglas Haber |
| Organization Legal Name | SIDNEY EMERGENCY PHYSICIAN SERVICES PLLC |
| Address |
43 Pearl St W Sidney NY 13838-1300 |
| Phone Number | 6075637080 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1973 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6406015395 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390072 | BERWICK HOSPITAL CENTER |
| 390112 | WINDBER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 701 E 16th St, Berwick, PA 18603-2316 | 5707595568 | PARADIGM EMERGENCY PHYSICIANS LLC |
| 43 Pearl St W, Sidney, NY 13838-1300 | 6075637080 | SIDNEY EMERGENCY PHYSICIAN SERVICES PLLC |
| Organization Legal Name | SIDNEY EMERGENCY PHYSICIAN SERVICES PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Lawrence Rice Jr. | Emergency Medicine | Sidney Emergency Physician Services Pllc | 43 Pearl St W, Sidney, NY 13838-1300 |
| Richard W Pretorius | Family Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Brian E Harris | Emergency Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Vincent P Tio | Internal Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Gina Puglisi | Emergency Medicine | Sidney Emergency Physician Services Pllc | 43 Pearl St W, Sidney, NY 13838-1300 |
| Santos O Gonzales | Emergency Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Krishna P Khanal | Family Medicine | Sidney Emergency Physician Services Pllc | 43 Pearl St W, Sidney, NY 13838-1300 |
| Janine Lynne Sabella | Emergency Medicine | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Nalin E Ranasinghe | General Surgery | Sidney Emergency Physician Services Pllc | 1 Norton Ave, Oneonta, NY 13820-2629 |
| Street Address |
43 PEARL ST W |
| City | SIDNEY |
| State | NY |
| Zip | 13838-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Lawrence Rice Jr. | Emergency Medicine | Sidney Emergency Physician Services Pllc | 43 Pearl St W, Sidney, NY 13838-1300 |
| Gina Puglisi | Emergency Medicine | Sidney Emergency Physician Services Pllc | 43 Pearl St W, Sidney, NY 13838-1300 |
| Krishna P Khanal | Family Medicine | Sidney Emergency Physician Services Pllc | 43 Pearl St W, Sidney, NY 13838-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Tabone | Chiropractic | 106 River St, Sidney, NY 13838-1020 | |
| Riaz A Lone | Internal Medicine | Mary Imogene Bassett Hospital | 59 River St, Sidney, NY 13838-1035 |
| Elizabeth A Rosa | Nurse Practitioner | Mary Imogene Bassett Hospital | 59 River St, Sidney, NY 13838-1035 |
| Jacquelyn R Sullivan | Clinical Social Worker | 76 Main St, Suite D, Sidney, NY 13838-1112 | |
| Chad Michael Belanger | Optometry | Dr George T Roberts Optometrist Pllc | 75 Main St, Sidney, NY 13838-1138 |
| George T Roberts | Optometry | Dr George T Roberts Optometrist Pllc | 75 Main St, Sidney, NY 13838-1138 |
| Michael Albert Christensen | Optometry | Dr George T Roberts Optometrist Pllc | 75 Main St, Sidney, NY 13838-1138 |
| Ryan Whinery | Optometry | Dr George T Roberts Optometrist Pllc | 75 Main St, Sidney, NY 13838-1138 |
| Christopher A Lopez | Optometry | Dr George T Roberts Optometrist Pllc | 75 Main St, Sidney, NY 13838-1138 |
| Robin L Hulbert | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 4 Cartwright Ave, Sidney, NY 13838-1206 |
| Find all physicians in zip 13838 | |||
| City | SIDNEY |
| Zip Code | 13838 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SIDNEY + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.