Individual
MARC WHITNEY HALTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
101 NICOLLS RD RM 20, STONY BROOK, NY 11794-0001
(631) 216-8527
(631) 759-2750
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 216-8527
(631) 759-2750
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
236125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02785573
—
NY
Enumeration date
08/07/2006
Last updated
09/02/2020
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