Individual
MICHAEL O'HALLERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6917
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
323856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110435200
—
FL
Enumeration date
03/22/2016
Last updated
04/30/2025
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