Provider Demographics
NPI:1891346524
Name:HALPERIN, PERRYN JENNA (RD)
Entity Type:Individual
Prefix:MS
First Name:PERRYN
Middle Name:JENNA
Last Name:HALPERIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:PERRI
Other - Middle Name:
Other - Last Name:HALPERIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:10 UNION SQ E STE 2L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3314
Mailing Address - Country:US
Mailing Address - Phone:212-844-6268
Mailing Address - Fax:
Practice Address - Street 1:10 UNION SQ E STE 2L
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3314
Practice Address - Country:US
Practice Address - Phone:212-844-6268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86043570133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered