Provider Demographics
NPI:1811921919
Name:HALPERIN, STEVEN J (PT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:HALPERIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1231
Mailing Address - Country:US
Mailing Address - Phone:516-484-2780
Mailing Address - Fax:516-484-2740
Practice Address - Street 1:300 FOREST DR
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1231
Practice Address - Country:US
Practice Address - Phone:516-484-2780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQP5701Medicare ID - Type Unspecified