Healthcare Provider Details

I. General information

NPI: 1477655892
Provider Name (Legal Business Name): JESSICA HALPRIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 HENRY HUDSON PARKWAY
RIVERDALE NY
10463
US

IV. Provider business mailing address

2700 WESTSCHESTER AVENUE 2ND FL
PURCHASE NY
10577
US

V. Phone/Fax

Practice location:
  • Phone: 718-601-2941
  • Fax: 718-601-8068
Mailing address:
  • Phone: 914-682-6538
  • Fax: 914-457-1583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200635
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: