Individual
DR. TOD MATHEW HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3220 FAIRFIELD AVE STE C1, BRONX, NY 10463-3240
(718) 432-2000
(718) 432-2001
Mailing address
3220 FAIRFIELD AVE STE C1, BRONX, NY 10463-3240
(718) 432-2000
(718) 432-2001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
250274
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2008
Last updated
03/27/2023
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