Individual
STACEY HALPERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6435 102ND ST, REGO PARK, NY 11374-3658
(718) 897-8600
Mailing address
913 JAY DR, NORTH BELLMORE, NY 11710-1037
(516) 729-8930
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
0131861
NY
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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