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Dr. Haim Misholy, MD
Specialist in Port Jefferson Station, New York
NPI 1194877985

Haim Misholy is a Specialist based in Port Jefferson Station, NY. Haim Misholy practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Haim Misholy is 1194877985 and holds a License No. 141725 (New York).

The current practice location address for Haim Misholy is 4616 Nesconset Hwy, Port Jefferson Station, NY and can be reached out via phone at 631-473-7070 and via fax at 631-331-2654.

Location: 4616 Nesconset Hwy, Port Jefferson Station, NY, 11776-2563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194877985
Provider Name
Haim Misholy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4616 Nesconset Hwy, Port Jefferson Station, NY, 11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A400036609 01 NY PTAN
141725 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
4616 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
person
Provider Business Mailing Address Details
Address
4616 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2563
Phone Number
631-473-7070
Fax Number
631-331-2654
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
141725 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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