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Individual

DR. WILLIAM SETH HALLENBECK III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
248 RACE RD, GREENE, NY 13778-4157
(607) 656-9700
(607) 656-9700
Mailing address
248 RACE RD, GREENE, NY 13778-4157
(607) 656-9700
(607) 656-9700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
087920
NY
207QA0505X
Adult Medicine Physician
Primary
087920
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00627078
NY
Enumeration date
09/24/2010
Last updated
09/24/2010
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