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Contact Information

MARK A HALSEY, MD
3350 NOYAC RD
SAG HARBOR, NY11963-1908
 Phone: 631-731-1099
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARK A HALSEY · (Male)

NPI Number 1790070480
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2011
Last updated 08/05/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 282033
  • NY Medicaid 05078079
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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