Provider Demographics
NPI:1780762666
Name:SEMLA-PULASKI, HALINA M (DPM)
Entity type:Individual
Prefix:DR
First Name:HALINA
Middle Name:M
Last Name:SEMLA-PULASKI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 TENNIS COURT RD
Mailing Address - Street 2:
Mailing Address - City:OYSTER BAY
Mailing Address - State:NY
Mailing Address - Zip Code:11771-1815
Mailing Address - Country:US
Mailing Address - Phone:516-624-2499
Mailing Address - Fax:516-624-2499
Practice Address - Street 1:117 NASSAU AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3217
Practice Address - Country:US
Practice Address - Phone:718-349-9595
Practice Address - Fax:718-349-6752
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004597213EP1101X, 213ER0200X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01159397Medicaid
NYPK252OtherBLUE CROSS/BLUE SHIELD
NY0119490OtherGHI
NYPO4597-2BOtherWORKERS COMPENSATION
NYP2099530OtherOXFORD
NY0119490OtherGHI
NY01159397Medicaid