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Organization
DR MARK HALTRECHT PLLC
Active
Organization
DR MARK HALTRECHT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HALTRECHT DO (OWNER)
(516) 754-5279
Entity
Organization
Contact information
Practice address
6061 MAIN ST, TANNERSVILLE, NY 12485-7717
(516) 867-5132
(516) 867-5519
Mailing address
PO BOX 134, HUNTER, NY 12442-0134
(516) 754-5279
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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