Provider Demographics
NPI:1558700237
Name:HALPIN, ALISON A (OD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:A
Last Name:HALPIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:A
Other - Last Name:RUITENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:92 N HALEDON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2735
Mailing Address - Country:US
Mailing Address - Phone:973-800-0991
Mailing Address - Fax:
Practice Address - Street 1:205 LAKE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2628
Practice Address - Country:US
Practice Address - Phone:518-584-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008010152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400067746Medicare PIN