Provider Demographics
NPI:1336227560
Name:HALPERN, EMILY BROOKE (DDS)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:BROOKE
Last Name:HALPERN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:70 GLEN COVE ROAD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577
Mailing Address - Country:US
Mailing Address - Phone:516-621-2323
Mailing Address - Fax:516-484-8854
Practice Address - Street 1:70 GLEN COVE ROAD
Practice Address - Street 2:SUITE 206
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577
Practice Address - Country:US
Practice Address - Phone:516-621-2323
Practice Address - Fax:516-484-8854
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2015-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0488391223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery