Halsey, Mark A.

Halsey, Mark A. is an sole proprietor health care provider with primary practice located at 3350 Noyac Rd , Sag Harbor NY 11963-1908. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Halsey, Mark A. can be contacted via phone (631) 731-1099.

Contact Information

Primary practice address
3350 Noyac Rd Sag Harbor NY 11963-1908
Phone: (631) 731-1099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 282033 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 282033 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 282033 New York

Profile Details

NPI number 1790070480
LBN Legal business name Halsey, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2011
Last updated Aug 2nd, 2019 - about 6 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 1790070480 NPPES
New York MEDICAID 05078079

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