Healthcare Provider Details

I. General information

NPI: 1134390792
Provider Name (Legal Business Name): DORINA HALIFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 03/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 CENTRAL PARK AVE
SCARSDALE NY
10583-3242
US

IV. Provider business mailing address

508 CENTRAL PARK AVE APT 5208
SCARSDALE NY
10583-1050
US

V. Phone/Fax

Practice location:
  • Phone: 914-472-4300
  • Fax:
Mailing address:
  • Phone: 914-574-6012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number245859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: