Provider Demographics
NPI:1417163262
Name:BEEN, HAROLD (NONE) (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:(NONE)
Last Name:BEEN
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 1:525 W 238TH ST
Mailing Address - Street 2:APT. O-4
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1818
Mailing Address - Country:US
Mailing Address - Phone:718-543-7474
Mailing Address - Fax:
Practice Address - Street 1:330 W 58TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1827
Practice Address - Country:US
Practice Address - Phone:212-399-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0962902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB16182Medicare UPIN