Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | N004597 | NY |
N | 111NR0200X | Radiology | N004597 | NY |
N | 213ER0200X | Radiology | N004597 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | N004597 | NY |
NPI | 1780762666 |
---|---|
Provider Name | Dr. Halina M Semla-Pulaski |
First Address | Oyster Bay, NY 11771-1815 |
Second Address | Brooklyn, NY 11222-3217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 13/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01159397 | (05) | NY |
0119490 | GHI (01) | NY |
P2099530 | OXFORD (01) | NY |
PK252 | BLUE CROSS/BLUE SHIELD (01) | NY |
PO4597-2B | WORKERS COMPENSATION (01) | NY |
U10109 | (02) | NY |