Provider Demographics
NPI:1407911860
Name:BLOCK, HARVEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:BLOCK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ARCADIAN WAY
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1291
Mailing Address - Country:US
Mailing Address - Phone:201-845-9800
Mailing Address - Fax:201-845-8663
Practice Address - Street 1:16 ARCADIAN WAY
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1291
Practice Address - Country:US
Practice Address - Phone:201-845-9800
Practice Address - Fax:201-845-8663
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ541421BVTMedicare PIN