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1508012782
TARA C HALVAX
SCHENECTADY, NY
NPI
1508012782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: NY 012606)
Enumeration Date
2008-08-07
Last Update Date
2008-08-07
Business Address
TARA C HALVAX PA
1101 NOTT ST
SCHENECTADY, NY 12308-2425
Phone number: 518-243-4000
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Mailing Address
TARA C HALVAX PA
1462 ERIE BLVD ATTN: THE MEDICAL GROUP
SCHENECTADY, NY 12305-1026
Phone number: 518-243-1020
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