Individual
ARLEN MARK HALSTEAD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP
Contact information
Practice address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Mailing address
329 N SALINA ST, SYRACUSE, NY 13203-1755
(315) 471-1564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005567
NY
163W00000X
Registered Nurse
736330
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
02/07/2011
Last updated
07/08/2022
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