Individual
DR. JUSTIN HASELTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE # 22, NEW YORK, NY 10065-6007
(212) 639-6800
(212) 717-3104
Mailing address
1275 YORK AVE # 22, NEW YORK, NY 10065-6007
(212) 639-6800
(212) 717-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03746
RI
2085R0203X
Therapeutic Radiology Physician
Primary
298428
NY
Other
Enumeration date
06/01/2016
Last updated
07/28/2022
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