Basic Information
Provider Information
NPI: 1376958108
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SITT
FirstName: HAL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 38 MEADOWLANDS PKWY
Address2: STE 205
City: SECAUCUS
State: NJ
PostalCode: 070942925
CountryCode: US
TelephoneNumber: 5512577611
FaxNumber:  
Practice Location
Address1: 450 CLARKSON AVE
Address2: BOX 59
City: BROOKLYN
State: NY
PostalCode: 112032012
CountryCode: US
TelephoneNumber: 7182702078
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/01/2014
LastUpdateDate: 06/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X25MA10319900NJY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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