Healthcare Provider Details

I. General information

NPI: 1013259894
Provider Name (Legal Business Name): ROBERT S. COPELAND-HALPERIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 06/05/2020
Certification Date: 06/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE GUSTAVE L. LEVY PLACE MOUNT SINAI
NEW YORK NY
10029
US

IV. Provider business mailing address

ONE GUSTAVE L. LEVY PLACE MOUNT SINAI MEDICAL CENTER
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 212-659-8551
  • Fax:
Mailing address:
  • Phone: 212-659-8551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number278522
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: