Isaak I Halegoua MD

NPI 1124076393 - Internal Medicine - 207R00000X

NPI Details
NPI 1124076393
Gender Male
Enumeration Date 05/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1174 ROUTE 112
PORT JEFFERSON STATION NY, 11776, US
Phone (631) 473-2800
Fax (631) 473-4969
Business Location
1174 ROUTE 112
PORT JEFFERSON STATION NY, 11776, US
Phone (631) 473-2800
Fax (631) 473-4969
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 125089
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According to our database, Isaak I Halegoua MD NPI is 1124076393, taxonomy code is 207R00000X and license number is 125089, license state is located at New York. Isaak I Halegoua MD physically located at 1174 Route 112, Port Jefferson Station NY, 11776. NPI Number Isaak I Halegoua MD has the Individual type.

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1124076393 NPI number is provided on an as is basis without warranty of any kind. 1124076393 is maintained by the National Plan & Provider Enumeration System. The contents of Isaak I Halegoua MD are for informational purposes only.