Provider Demographics
NPI:1639320740
Name:HALBERSTAM, SARAH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:HALBERSTAM
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:PAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14-16 HEYWARD ST.
Mailing Address - Street 2:ODA PRIMARY HEALTH CARE CENTER, INC.
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211
Mailing Address - Country:US
Mailing Address - Phone:718-260-4600
Mailing Address - Fax:718-852-0867
Practice Address - Street 1:14-16 HEYWARD ST.
Practice Address - Street 2:ODA PRIMARY HEALTH CARE CENTER, INC.
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211
Practice Address - Country:US
Practice Address - Phone:718-260-4600
Practice Address - Fax:718-852-0867
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019718235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist