1073610739 NPI number — DR. HARRIETTE KALEY PH.D.

Table of content: DR. HARRIETTE KALEY PH.D. (NPI 1073610739)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073610739 NPI number — DR. HARRIETTE KALEY PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KALEY
Provider First Name:
HARRIETTE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073610739
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
142 E 71ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10021-5157
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-472-0515
Provider Business Mailing Address Fax Number:
212-472-9343

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
142 E 71ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021-5157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-472-0515
Provider Business Practice Location Address Fax Number:
212-472-9343
Provider Enumeration Date:
09/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  003692 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 144396 . This is a "VALUEOPTIONS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: HK0V523710 . This is a "EMPIRE BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: V5237 . This is a "NEW YORK BCBS (EMPIRE)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7512053 . This is a "AETNA PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7330701 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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