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NPI Code Detail

MEDICARE: DR. VERA VALESKA HALBFASS DPM

MEDICARE:  DR. VERA VALESKA HALBFASS  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery PodiatristN006020NY
2213E00000XPodiatrist925CT

General Provider Information

NPI Number : 1205885100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA VALESKA HALBFASS DPM
Provider Business Mailing Address
First Line : 415 LEONARD ST
Second Line : APT. 1E
City : BROOKLYN
State : NY
Zip : 11222-3943
Country : US
Telephone Number : 917-754-7084
Fax Number : 718-388-4198
Provider Business Practice Location Address
First Line : 415 LEONARD ST
Second Line : APT 1E
City : BROOKLYN
State : NY
Zip : 11222-3943
Country : US
Telephone Number : 212-682-5290
Fax Number : 212-599-3059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 06/05/2015

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Directions to “ DR. VERA VALESKA HALBFASS DPM” Practice Location

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