Individual
BAILA HALBERSTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 38TH ST, BROOKLYN, NY 11218-4445
(347) 623-7817
Mailing address
1526 38TH ST, BROOKLYN, NY 11218-4445
(347) 623-7817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1173453
NY
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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