Provider Demographics
NPI:1649412305
Name:HARMON, BRYAN ERIC (MD)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:ERIC
Last Name:HARMON
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:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - Street 2:ANATOMIC PATHOLOGY OFFICE LEVEL 2, ROOM 749
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-7025
Mailing Address - Country:US
Mailing Address - Phone:631-444-2221
Mailing Address - Fax:631-444-3419
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:ANATOMIC PATHOLOGY OFFICE LEVEL 2, ROOM 749
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-7025
Practice Address - Country:US
Practice Address - Phone:631-444-2221
Practice Address - Fax:631-444-3419
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program