Individual
GEOFFROY HALLAH PATRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 E 84TH ST, BROOKLYN, NY 11236-3802
(718) 241-4621
(718) 241-4622
Mailing address
914 E 84TH ST, BROOKLYN, NY 11236-3802
(718) 241-4621
(718) 241-4622
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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