Provider Demographics
NPI:1023728755
Name:SCHAF, HALLE BROOKE (DDS)
Entity type:Individual
Prefix:DR
First Name:HALLE
Middle Name:BROOKE
Last Name:SCHAF
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1854 MUTTONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-9652
Mailing Address - Country:US
Mailing Address - Phone:516-348-3544
Mailing Address - Fax:
Practice Address - Street 1:9212 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-7942
Practice Address - Country:US
Practice Address - Phone:929-388-4838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN276221223X0400X
NY0634341223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics