Halberstadt, Geoffrey Stuart
Halberstadt, Geoffrey Stuart is an individual health care provider with primary practice located at 20 Continental Avenue Suite 1 G, Forest Hills NY 11375-5266. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Halberstadt, Geoffrey Stuart can be contacted via phone (718) 261-1400.Contact Information
Primary practice address
20 Continental Avenue Suite 1 G
Forest Hills NY 11375-5266
Phone: (718) 261-1400
Fax: (718) 261-1401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 032513 | New York |
Profile Details
| NPI number | 1083719223 |
|---|---|
| LBN Legal business name | Halberstadt, Geoffrey Stuart |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Apr 23rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083719223 | NPPES |
| New York | MEDICAID | 1083719223 | |
| New York | MEDICAID | 01203763 |
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