Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 259671 | NY |
NPI | 1003050881 |
---|---|
Provider Name | Dr. Hadi Jarir Halazun |
First Address | New York, NY 10021-9800 |
Second Address | New York, NY 10022-1795 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2009 |
Last Update Date | 04/08/2020 |