Provider Demographics
NPI:1578893780
Name:HARARI, EREZ (PHD)
Entity Type:Individual
Prefix:DR
First Name:EREZ
Middle Name:
Last Name:HARARI
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 1:41 CENTRAL PARK W APT 1H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6732
Mailing Address - Country:US
Mailing Address - Phone:917-415-7664
Mailing Address - Fax:
Practice Address - Street 1:41 CENTRAL PARK W APT 1H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6732
Practice Address - Country:US
Practice Address - Phone:917-415-7664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020168103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical