Provider Demographics
NPI:1285927335
Name:HALENE, TOBIAS (MD PHD)
Entity type:Individual
Prefix:DR
First Name:TOBIAS
Middle Name:
Last Name:HALENE
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:130 W KINGSBRIDGE RD
Mailing Address - Street 2:130 WEST KINGSBRIDGE RD, ROOM 6A-44
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-3904
Mailing Address - Country:US
Mailing Address - Phone:718-584-9000
Mailing Address - Fax:718-364-3576
Practice Address - Street 1:506 6TH ST DEPT OF
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-5490
Practice Address - Fax:718-780-7780
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2794822084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry