Provider Demographics
NPI:1326080979
Name:YORK, HAROLD R (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:R
Last Name:YORK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4937 HEARST ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1120
Mailing Address - Country:US
Mailing Address - Phone:504-885-9957
Mailing Address - Fax:504-885-9987
Practice Address - Street 1:4937 HEARST ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1120
Practice Address - Country:US
Practice Address - Phone:504-885-9957
Practice Address - Fax:504-885-9987
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA012047208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1143804Medicaid
LA1143804Medicaid