Provider Demographics
NPI:1023364825
Name:HALPERT GREENBERGER, SUSAN N I
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:N
Last Name:HALPERT GREENBERGER
Suffix:I
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:N
Other - Last Name:HALPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:972 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3738
Mailing Address - Country:US
Mailing Address - Phone:718-253-6711
Mailing Address - Fax:171-825-3671
Practice Address - Street 1:1312 38TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3612
Practice Address - Country:US
Practice Address - Phone:718-253-6711
Practice Address - Fax:171-868-6239
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist