Individual
DR. MICHAEL S HALATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 GRASSLANDS RD, STE 201, VALHALLA, NY 10595-1503
(914) 367-0000
(914) 367-0001
Mailing address
PO BOX 1020, HAWTHORNE, NY 10532-7507
(914) 367-0000
(914) 367-0001
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
127191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00306607
—
NY
05
—
003138626
—
CT
05
—
7674503
—
NJ
Enumeration date
07/22/2005
Last updated
07/23/2013
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