Provider Demographics
NPI:1639388622
Name:HARWOOD, ADAM (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:HARWOOD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 5TH AVE
Mailing Address - Street 2:1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4377
Mailing Address - Country:US
Mailing Address - Phone:212-475-2100
Mailing Address - Fax:212-677-1907
Practice Address - Street 1:33 5TH AVE
Practice Address - Street 2:1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4377
Practice Address - Country:US
Practice Address - Phone:212-475-2100
Practice Address - Fax:212-677-1907
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0405511223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics