Provider Demographics
NPI:1821184268
Name:HALPERIN, EDWARD C (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:C
Last Name:HALPERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:MACY PAVILION RM 1297
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-8561
Mailing Address - Fax:914-493-8562
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:MACY PAVILION RM 1297
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8561
Practice Address - Fax:914-493-8562
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2676972085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8938791Medicaid
NC213941Medicare ID - Type Unspecified
E01430Medicare UPIN
NYA400088974Medicare PIN