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Individual

DR. EDWARD JOHN HALLAL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 665-0027
(631) 665-0172
Mailing address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 665-0027
(631) 665-0172

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170511
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01288893
NY
Enumeration date
01/03/2006
Last updated
03/14/2010
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