Provider Demographics
NPI:1811145568
Name:HALPIN, JOHN PATRICK (LAC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PATRICK
Last Name:HALPIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 MARLBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5618
Mailing Address - Country:US
Mailing Address - Phone:917-536-3388
Mailing Address - Fax:
Practice Address - Street 1:310 W 93RD ST
Practice Address - Street 2:5J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7206
Practice Address - Country:US
Practice Address - Phone:917-536-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-07
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003907171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist