Provider Demographics
NPI:1497932347
Name:HALPERIN ACQUISITION LLC
Entity Type:Organization
Organization Name:HALPERIN ACQUISITION LLC
Other - Org Name:HALPERIN COMFORT FOOTWEAR & ORTHOTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:HADRA
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:516-766-9220
Mailing Address - Street 1:1 N VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4707
Mailing Address - Country:US
Mailing Address - Phone:516-766-9220
Mailing Address - Fax:
Practice Address - Street 1:1 N VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4707
Practice Address - Country:US
Practice Address - Phone:516-766-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2011-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6243300001Medicare NSC