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Individual

DAVID L HALLASEY-ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-1000
(716) 712-0853
Mailing address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-1000
(716) 712-0853

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
175084
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01538949
NY
Enumeration date
04/28/2006
Last updated
07/27/2011
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