Healthcare Provider Details

I. General information

NPI: 1811921919
Provider Name (Legal Business Name): STEVEN J HALPERIN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FOREST DR
GREENVALE NY
11548-1231
US

IV. Provider business mailing address

300 FOREST DR
GREENVALE NY
11548-1231
US

V. Phone/Fax

Practice location:
  • Phone: 516-484-2780
  • Fax:
Mailing address:
  • Phone: 516-484-2780
  • Fax: 516-484-2740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009537
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: