Individual
DR. J H HALIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 EAST SHORE ROAD, GREAT NECK, NY 11023
(516) 482-7632
Mailing address
241 EAST SHORE ROAD, GREAT NECK, NY 11023
(516) 482-7632
(516) 487-9286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
156815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01954784
—
NY
01
—
04295
GHI MEDICARE
NY
01
—
P735079
OXFORD
NY
Enumeration date
11/09/2006
Last updated
07/08/2007
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