1407135072 NPI number — DR. HAROLD BARRY STEVELMAN MD

Table of content: (NPI 1144382250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407135072 NPI number — DR. HAROLD BARRY STEVELMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEVELMAN
Provider First Name:
HAROLD
Provider Middle Name:
BARRY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STEVELMAN
Provider Other First Name:
HAROLD
Provider Other Middle Name:
BARRY
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1407135072
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31 FOREST LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROMPOND
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10517-0023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-528-8881
Provider Business Mailing Address Fax Number:
914-743-1325

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 FOREST LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROMPOND
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10517-0023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-528-8881
Provider Business Practice Location Address Fax Number:
914-743-1325
Provider Enumeration Date:
08/12/2011

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: 207R00000X , with the licence number:  092042 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 092042 , 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: MP0143214PR . This is a "MEDICAL LIABILITY MUTUAL INSURANCE COMPANY (MLMIC)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: N/A . This is a "ATTENDING STAFF HUDSON VALLEY HOSPITAL CENTER/CHAIRMAN ETHICS COMMITTEE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NYS 092042 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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