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1013023555
JASON HALEGOUA
STONY BROOK, NY
NPI
1013023555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 231789)
Enumeration Date
2006-08-21
Last Update Date
2024-03-12
Business Address
Dr. JASON HALEGOUA PhD, MD, MBA
207 HALLOCK RD STE 106
STONY BROOK, NY 11790-3075
Phone number: 631-675-9777
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Mailing Address
Dr. JASON HALEGOUA PhD, MD, MBA
11 LILY DR
SOUTH SETAUKET, NY 11720-2001
Phone number: 516-650-3636
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