Hallaian, Keith
Hallaian, Keith is an sole proprietor health care provider with primary practice located at 80 Maple Ave , Smithtown NY 11787-3520. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Hallaian, Keith can be contacted via phone (631) 265-6533.Contact Information
Primary practice address
80 Maple Ave
Smithtown NY 11787-3520
Phone: (631) 265-6533
Fax: (631) 265-6723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 048248 | New York |
Profile Details
| NPI number | 1366586208 |
|---|---|
| LBN Legal business name | Hallaian, Keith |
| Credentials | D.M.D., M.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366586208 | NPPES |
| New York | MEDICAID | 02325744 |
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