Healthcare Provider Details

I. General information

NPI: 1831002542
Provider Name (Legal Business Name): DANIEL HALFON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 PUTNEY RD
VALLEY STREAM NY
11580-1818
US

IV. Provider business mailing address

145 W 105TH ST
NEW YORK NY
10025-4033
US

V. Phone/Fax

Practice location:
  • Phone: 347-599-5010
  • Fax: 347-599-5010
Mailing address:
  • Phone: 347-599-5010
  • Fax: 347-599-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: