| Susha C Halberstam | |
|
11015 71st Rd Ste P1 Forest Hills NY 11375-4976 | |
| (718) 793-4955 | |
| Not Available |
| Full Name | Susha C Halberstam |
|---|---|
| Speciality | Dentist |
| Location | 11015 71st Rd Ste P1, Forest Hills, New York |
| Authorized Official Name and Position | Cindy Cafaro (BILLING SUPERVISOR) |
| Authorized Official Contact | 6314867710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susha C Halberstam 11015 71st Rd Ste P1 Forest Hills NY 11375-4976 Ph: (718) 793-4955 | Susha C Halberstam 11015 71st Rd Ste P1 Forest Hills NY 11375-4976 Ph: (718) 793-4955 |
| NPI Number | 1912398447 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Medicare PECOS PAC ID | 5193034056 |
|---|---|
| Medicare Enrollment ID | O20151016001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912398447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044412-1 (New York) | Primary |
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