Provider Demographics
NPI:1144327388
Name:HALPER MEDICAL SERVICES PC
Entity type:Organization
Organization Name:HALPER MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEV
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTSIANOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-743-0464
Mailing Address - Street 1:40 W BRIGHTON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4901
Mailing Address - Country:US
Mailing Address - Phone:718-743-0464
Mailing Address - Fax:718-996-1123
Practice Address - Street 1:40 W BRIGHTON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4901
Practice Address - Country:US
Practice Address - Phone:718-743-0464
Practice Address - Fax:718-996-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3600065OtherOXFORD HEALTH PLANS
NY1000015212OtherAFFINITY
NY9657202OtherGHI
NY1000015212OtherAFFINITY