Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 925 | CT |
Y | 222Z00000X | Podiatrist | 925 | CT |
N | 213ES0131X | Foot Surgery | N006020 | NY |
NPI | 1205885100 |
---|---|
Provider Name | Dr. Vera Valeska Halbfass |
First Address | Brooklyn, NY 11222-3943 |
Second Address | Brooklyn, NY 11222-3943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 05/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U99430 | (02) | NY |