Haller, Jerome Stuart

Haller, Jerome Stuart is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Haller, Jerome Stuart can be contacted via phone (518) 262-5091.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Phone: (518) 262-5091
Fax: (518) 262-9985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 091802-1 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 091802-1 New York

Profile Details

NPI number 1437141306
LBN Legal business name Haller, Jerome Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1437141306 NPPES
New York MEDICAID 01128394

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