Individual
DR. CAROLINE PATRICIA HALVERSTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 WATERS PL, TOWER 2, 6TH FLOOR, BRONX, NY 10461-2720
(866) 633-8255
Mailing address
1250 WATERS PL, TOWER 2, 6TH FLOOR, BRONX, NY 10461-2720
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
251330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03384416
—
NY
Enumeration date
06/20/2007
Last updated
03/02/2015
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