Organization · NPI-2

John B Halkias Physician PC

Clinic/Center, Adult Mental Health · Corona, NY

NPI number1437556370

StatusActive

Last updated in NPPESNov 20, 2014

Details

NPI: 1437556370
Entity type: Organization (NPI-2)
Legal business name: John B Halkias Physician PC
Organization subpart: No
Enumeration date: Nov 20, 2014
Last updated: Nov 20, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0850X	Clinic/Center, Adult Mental Health	178120	NY	Yes

Practice location

10211 Roosevelt Ave
Corona, NY 11368-2331

Phone 718-898-1378 · Fax 718-898-3673

Mailing address

10211 Roosevelt Ave
Corona, NY 11368-2331

Phone 718-898-1378 · Fax 718-898-3673

Authorized official

John Bill Halkias
Owner
7188981378

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