Basic Information
| Provider Information | |||||||||
| NPI: | 1225026511 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HALBERSTAM | ||||||||
| FirstName: | MEYER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2510 WESTCHESTER AVE | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104613585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185181276 | ||||||||
| FaxNumber: | 7185181281 | ||||||||
| Practice Location | |||||||||
| Address1: | 2510 WESTCHESTER AVE | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104613585 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185181276 | ||||||||
| FaxNumber: | 7185181281 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2005 | ||||||||
| LastUpdateDate: | 01/22/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 184899 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | 207R00000X | 184899 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.