Dr. Jason Halegoua
Pediatrician
2799 Route 112 Suite 11
Medford
, New York 11763-2535
Dr. Jason Halegoua
Pediatrician
2799 Route 112 Suite 11
Medford
, New York 11763-2535
(631) 732-6222
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jason Halegoua
- 2799 Route 112 Suite 11
- Medford, NY
- Zip : 11763-2535
- Fax : (631) 732-6222
- Phone : (631) 732-5222
Second Address
- Dr. Jason Halegoua
- 2799 Route 112 Suite 11
- Medford, NY
- Zip : 11763-2535
- Fax : (631) 732-6222
- Phone : (631) 732-5222
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 231789 | NY |
National Provider Identifier
| NPI | 1013023555 |
|---|---|
| Provider Name | Dr. Jason Halegoua |
| First Address | Medford, NY 11763-2535 |
| Second Address | Medford, NY 11763-2535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 29/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I50068 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.