Provider Demographics
NPI:1780854497
Name:HALDEY, EMIL JOSEPH (RPH, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:JOSEPH
Last Name:HALDEY
Suffix:
Gender:M
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2510 WESTCHESTER AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3585
Mailing Address - Country:US
Mailing Address - Phone:718-288-4361
Mailing Address - Fax:855-326-6768
Practice Address - Street 1:3619 PROVOST AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-6145
Practice Address - Country:US
Practice Address - Phone:646-350-0033
Practice Address - Fax:855-326-6768
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY051099183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist