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NPI Code Detail

MEDICARE: JEFFREY L HALAAS MD

MEDICARE: JEFFREY L HALAAS 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
1207R00000XInternal Medicine Physician219677NY
2207RH0003XHematology & Oncology Physician219677NY

Other Identifiers

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

General Provider Information

NPI Number : 1851346928
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY L HALAAS MD
Provider Business Mailing Address
First Line : 110 S BEDFORD RD
Second Line : CAREMOUNT MEDICAL PC
City : MOUNT KISCO
State : NY
Zip : 10549-3446
Country : US
Telephone Number : 914-241-1050
Fax Number : 914-242-1516
Provider Business Practice Location Address
First Line : 185 ROUTE 312
Second Line :
City : BREWSTER
State : NY
Zip : 10509-2337
Country : US
Telephone Number : 845-231-5600
Fax Number : 845-231-5489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 11/17/2016

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