Provider Demographics
NPI:1275882441
Name:HALEK, JUDITH E
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:E
Last Name:HALEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W 109TH ST
Mailing Address - Street 2:APARTMENT 6D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2176
Mailing Address - Country:US
Mailing Address - Phone:212-222-4349
Mailing Address - Fax:
Practice Address - Street 1:309 W 109TH ST
Practice Address - Street 2:APARTMENT 6D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-2176
Practice Address - Country:US
Practice Address - Phone:212-222-4349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula