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Individual
GEOFFROY HALLAH PATRICE
Active
Individual
GEOFFROY HALLAH PATRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
141929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00766596
—
NY
01
—
0084492
GHI
NY
01
—
01198693
WORKERS'S COMPENSATION
NY
01
—
141929
HIP
NY
01
—
141929-B16
HEALTHFIRST
NY
01
—
71S501
BLUE CROSS BLUE SHIELD
NY
01
—
P570487
OXFORD
NY
Enumeration date
04/04/2007
Last updated
07/08/2007
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