Individual
JEFFREY EZRA HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 MARCUS AVE, SUITE 216, NEW HYDE PARK, NY 11042-1017
(516) 775-4545
Mailing address
1999 MARCUS AVE, SUITE 216, NEW HYDE PARK, NY 11042-1017
(516) 775-4545
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
204250
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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