Most Relevant Information
Provider Data
| NPI Number: | 1003437310 |
| Provider Name: | JACK DANIEL HALLIGAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | MT220997 |
Most Important Dates
| Enumeration Date: | 04/28/2020 |
| Last Updated: | 05/11/2023 |
Provider Practice Location
818 ELLICOTT ST
BUFFALO
NY
142031021
Practice Location Phone/Fax
| Phone: | 7163230220 |
| Fax: |
Provider Mailing Location
818 ELLICOTT ST
BUFFALO
NY
142031021
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Pediatrics EMR