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SHLOMO ELIYAHU HALBERSTAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4805
Mailing address
312 WASHINGTON AVE, CEDARHURST, NY 11516-1523
(917) 578-1947

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
801670-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406864-01
NY

Other

Enumeration date
05/08/2024
Last updated
05/14/2025
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