Halverstam, Caroline Patricia

Halverstam, Caroline Patricia is an individual health care provider with primary practice located at 1250 Waters Pl Tower 2, 6Th Floor, Bronx NY 10461-2720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Halverstam, Caroline Patricia can be contacted via phone (866) 633-8255.

Contact Information

Primary practice address
1250 Waters Pl Tower 2, 6Th Floor Bronx NY 10461-2720
Phone: (866) 633-8255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 251330 New York

Profile Details

NPI number 1215132147
LBN Legal business name Halverstam, Caroline Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Mar 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215132147 NPPES
New York MEDICAID 03384416

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