Provider Demographics
NPI:1518047745
Name:HARALAMBOU, GEORGE (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:HARALAMBOU
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 1:5806 FRANCIS LEWIS BLVD
Mailing Address - Street 2:1ST FL
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1637
Mailing Address - Country:US
Mailing Address - Phone:718-224-8900
Mailing Address - Fax:718-224-5184
Practice Address - Street 1:5806 FRANCIS LEWIS BLVD
Practice Address - Street 2:1ST FL
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-1637
Practice Address - Country:US
Practice Address - Phone:718-224-8900
Practice Address - Fax:718-224-5184
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185007207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01867789Medicaid
NYG47769Medicare UPIN
NY55415JMedicare PIN