Provider Demographics
NPI:1407135072
Name:STEVELMAN, HAROLD BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:BARRY
Last Name:STEVELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HAROLD
Other - Middle Name:BARRY
Other - Last Name:STEVELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:31 FOREST LANE
Mailing Address - Street 2:
Mailing Address - City:CROMPOND
Mailing Address - State:NY
Mailing Address - Zip Code:10517-0023
Mailing Address - Country:US
Mailing Address - Phone:914-528-8881
Mailing Address - Fax:914-743-1325
Practice Address - Street 1:31 FOREST LANE
Practice Address - Street 2:
Practice Address - City:CROMPOND
Practice Address - State:NY
Practice Address - Zip Code:10517-0023
Practice Address - Country:US
Practice Address - Phone:914-528-8881
Practice Address - Fax:914-743-1325
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092042207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMP0143214PROtherMEDICAL LIABILITY MUTUAL INSURANCE COMPANY (MLMIC)
NYN/AOtherATTENDING STAFF HUDSON VALLEY HOSPITAL CENTER/CHAIRMAN ETHICS COMMITTEE
NYNYS 092042OtherMEDICAL LICENSE
NYNYS 092042OtherMEDICAL LICENSE