Provider Demographics
NPI:1134508328
Name:JERRY L. HALPERN DDS STEVEN J. TUNICK DMD
Entity type:Organization
Organization Name:JERRY L. HALPERN DDS STEVEN J. TUNICK DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:TUNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-246-4593
Mailing Address - Street 1:119 W. 57TH ST
Mailing Address - Street 2:SUITE 914
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2401
Mailing Address - Country:US
Mailing Address - Phone:212-246-4593
Mailing Address - Fax:212-247-8701
Practice Address - Street 1:119 W 57TH ST
Practice Address - Street 2:SUITE 914
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2303
Practice Address - Country:US
Practice Address - Phone:212-246-4593
Practice Address - Fax:212-247-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031243-11223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty