# DR MARK HALTRECHT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558220848
- **Authorized official:** MARK HALTRECHT DO (OWNER)
- **Authorized official phone:** (516) 754-5279

## Contact information

- **Practice address:** 6061 MAIN ST, TANNERSVILLE, NY 12485-7717
- **Practice address phone:** (516) 867-5132
- **Practice address fax:** (516) 867-5519
- **Mailing address:** PO BOX 134, HUNTER, NY 12442-0134
- **Mailing address phone:** (516) 754-5279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2026
- **Last updated:** 01/21/2026