Individual
MR. MELVIN LEE HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3074 36TH ST, ASTORIA, NY 11103-4705
(718) 728-0224
(718) 728-1626
Mailing address
3074 36TH ST, ASTORIA, NY 11103-4705
(718) 728-0224
(718) 728-1626
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
112942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00242526
—
NY
Enumeration date
10/06/2005
Last updated
12/11/2007
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