Individual
DAVID HALDORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 HOWARD DR, SPRING VALLEY, NY 10977-3820
(845) 627-6114
Mailing address
718 PALMER AVE, TEANECK, NJ 07666-3131
(845) 627-6114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA08867900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399293
—
NY
Enumeration date
11/20/2006
Last updated
12/03/2024
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