Individual
JOHN DAVID HALDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 WESTAGE BUSINESS CTR DR, SUITE 210, FISHKILL, NY 12524-2223
(845) 838-8480
(845) 838-8474
Mailing address
243 NORTH RD 304, SUITE 210, POUGHKEEPSIE, NY 12601
(845) 451-7251
(845) 451-7757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0031901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00487729
—
NY
Enumeration date
07/31/2006
Last updated
04/23/2015
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