Misholy, Haim

Misholy, Haim is an individual health care provider with primary practice located at 4616 Nesconset Hwy , Port Jefferson Station NY 11776-2563. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Misholy, Haim can be contacted via phone (631) 473-7070.

Contact Information

Primary practice address
4616 Nesconset Hwy Port Jefferson Station NY 11776-2563
Fax: (631) 331-2654
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 141725 New York

Profile Details

NPI number 1194877985
LBN Legal business name Misholy, Haim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 17th, 2011 - 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 1194877985 NPPES
New York Other A400036609 PTAN
New York Other 141725 PTAN

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