Halle, Robert Ira

Halle, Robert Ira is an sole proprietor health care provider with primary practice located at 652 Suffolk Ave Suite #102, Brentwood NY 11717. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Halle, Robert Ira can be contacted via phone (631) 673-8060.

Contact Information

Primary practice address
652 Suffolk Ave Suite #102 Brentwood NY 11717
Phone: (631) 673-8060
Fax: (631) 273-5255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041683 New York

Profile Details

NPI number 1902029366
LBN Legal business name Halle, Robert Ira
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Aug 12th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902029366 NPPES
California Other 38006 CALIFORNIA DENTAL LICENSE

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