Provider Demographics
NPI:1104826460
Name:PASS, HARVEY I (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:I
Last Name:PASS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:SUITE 9V
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7417
Mailing Address - Fax:212-263-2042
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 9V
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7365
Practice Address - Fax:212-263-2042
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY237477-1208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02687736Medicaid
NYD42471Medicare UPIN
NY02687736Medicaid