Provider Demographics
NPI:1396094157
Name:HALINSKI, CANDICE (ANP)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:HALINSKI
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COMMUNITY DR
Mailing Address - Street 2:SECOND FLOOR NEPHROLOGY
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5501
Mailing Address - Country:US
Mailing Address - Phone:631-445-9489
Mailing Address - Fax:
Practice Address - Street 1:100 COMMUNITY DR
Practice Address - Street 2:SECOND FLOOR NEPHROLOGY
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5501
Practice Address - Country:US
Practice Address - Phone:631-445-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306170-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health