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Organization
SUSHA C HALBERSTAM
Active
Organization
SUSHA C HALBERSTAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CAFARO (BILLING SUPERVISOR)
(631) 486-7710
Entity
Organization
Contact information
Practice address
11015 71ST RD STE P1, FOREST HILLS, NY 11375-4976
(718) 793-4955
Mailing address
11015 71ST RD STE P1, FOREST HILLS, NY 11375-4976
(718) 793-4955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044412-1
NY
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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