Provider Demographics
NPI:1760270961
Name:HALPERN, JOSEPH DOV
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DOV
Last Name:HALPERN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 LORD AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1340
Mailing Address - Country:US
Mailing Address - Phone:516-534-7075
Mailing Address - Fax:
Practice Address - Street 1:109 LORD AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1340
Practice Address - Country:US
Practice Address - Phone:516-534-7075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program