Provider Demographics
NPI:1811391220
Name:HARPAZ, HEN (LAC)
Entity Type:Individual
Prefix:
First Name:HEN
Middle Name:
Last Name:HARPAZ
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4431
Mailing Address - Country:US
Mailing Address - Phone:917-440-3849
Mailing Address - Fax:
Practice Address - Street 1:2109 BROADWAY
Practice Address - Street 2:SUITE NUMBER 892
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2138
Practice Address - Country:US
Practice Address - Phone:347-458-5891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005345-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist