1598861890 NPI number — LINDA A HARKAVY M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598861890 NPI number — LINDA A HARKAVY M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

HARKAVY

Provider First Name:

LINDA

Provider Middle Name:

A

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

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:

1598861890

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/08/2007

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

70 E SUNRISE HWY

Provider Second Line Business Mailing Address:

SUITE 608

Provider Business Mailing Address City Name:

VALLEY STREAM

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

11581-1233

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

516-872-7070

Provider Business Mailing Address Fax Number:

516-872-7075

Provider First Line Business Practice Location Address:

70 E SUNRISE HWY

Provider Second Line Business Practice Location Address:

SUITE 608

Provider Business Practice Location Address City Name:

VALLEY STREAM

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

11581-1233

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

516-872-7070

Provider Business Practice Location Address Fax Number:

516-872-7075

Provider Enumeration Date:

09/15/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085R0202X , with the licence number:  146612 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 0050754 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
• Identifier: 30103270 . This is a "FIDELIS" identifier . This identifiers is of the category "OTHER".
• Identifier: 146612A38 . This is a "HEALTHFIRST" identifier . This identifiers is of the category "OTHER".
• Identifier: 46D561 . This is a "EMPIRE FEDERAL" identifier . This identifiers is of the category "OTHER".
• Identifier: AD00575 . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
• Identifier: ANC905 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
• Identifier: NS0000372 . This is a "SELECT PRO" identifier . This identifiers is of the category "OTHER".
• Identifier: 0101046612NY01 . This is a "ANTHEM HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 4343084 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
• Identifier: 0885885 . This is a "AETNA MC" identifier . This identifiers is of the category "OTHER".
• Identifier: 30103270 . This is a "BETTER HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 00012680 . This is a "INDEPENDENT HEALTH" identifier . This identifiers is of the category "OTHER".
• Identifier: 4343084 . This is a "AETNA SELECT CHOICE" identifier . This identifiers is of the category "OTHER".
• Identifier: 65258 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 46D561 . This is a "EMPIRE BLUE CROSS BLUE SH" identifier . This identifiers is of the category "OTHER".