Provider Demographics
NPI:1578631776
Name:LAMPERT, HARRIS KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:KENNETH
Last Name:LAMPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 7TH AVE
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6708
Mailing Address - Country:US
Mailing Address - Phone:212-812-3548
Mailing Address - Fax:212-812-3800
Practice Address - Street 1:275 7TH AVE
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6708
Practice Address - Country:US
Practice Address - Phone:212-812-3548
Practice Address - Fax:212-812-3800
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01120552Medicaid
NY37D081Medicare ID - Type Unspecified
NYA62548Medicare UPIN