Provider Demographics
NPI:1003815952
Name:BEARNOT, HARRIS R (MD)
Entity Type:Individual
Prefix:
First Name:HARRIS
Middle Name:R
Last Name:BEARNOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 EAST 35TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4283
Mailing Address - Country:US
Mailing Address - Phone:212-684-3601
Mailing Address - Fax:
Practice Address - Street 1:245 EAST 35TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4283
Practice Address - Country:US
Practice Address - Phone:212-684-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB12156Medicare UPIN
NY28A881Medicare PIN