| Doctor Name: | DIANE LOIS HABER |
| NPI Number: | 1194896241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RN, CS |
| License Number: | 148362-1 |
| Business Practice Address: | 5331 Marathon Pkwy Douglaston, NY - 113621720 |
| Business Phone Number: | 7182245235 |
| Business Fax Number: | 7182249498 |
| Mailing Address: | 5846 246th Cres, 58-46 246 Crescent DOUGLASTON |
| State: | NY |
| Postal Code: | 113622028 |
| Phone Number: | 7182245235 |
| Fax Number: | 7182249498 |
| NPI Enumeration Date: | 11/12/2006 |
| NPI Last Update Date: | 05/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 148362-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |