Individual
DR. JUNE CHANYASULKIT HALSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
686 COUNTY ROAD 39A, SOUTHAMPTON, NY 11968-5703
(631) 283-0355
(631) 283-2084
Mailing address
635 BELLE TERRE RD, STE 204, PORT JEFFERSON, NY 11777-1977
(631) 474-0008
(631) 474-0224
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2874631
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2011
Last updated
10/15/2018
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