Individual
DR. MARK HARRIS HALTRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1825 MERRICK RD, MERRICK, NY 11566-4559
(516) 867-5132
(516) 867-5519
Mailing address
1825 MERRICK RD, MERRICK, NY 11566-4559
(516) 867-5132
(516) 867-5519
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
242484
NY
2085R0202X
Diagnostic Radiology Physician
242484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258GL
GHI MEDICARE
NY
05
—
02891752
—
NY
Enumeration date
12/02/2006
Last updated
01/07/2026
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