Individual
MS. LISA M HALFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
429 E 75TH ST FL 6, NEW YORK, NY 10021-3102
(212) 606-1768
Mailing address
429 E 75TH ST FL 6, NEW YORK, NY 10021-3102
(212) 606-1768
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011656
NY
Other
Enumeration date
05/15/2008
Last updated
02/26/2024
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