Provider Demographics
NPI:1851314496
Name:HARKIN, KRISTIN E (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:E
Last Name:HARKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST # 573
Mailing Address - Street 2:EMERGENCY DEPARTMENT NEW YORK-PRESBYTERIAN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-1104
Mailing Address - Fax:212-746-4883
Practice Address - Street 1:525 E 68TH ST # 573
Practice Address - Street 2:EMERGENCY DEPARTMENT NEW YORK-PRESBYTERIAN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-1104
Practice Address - Fax:212-746-4883
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210605207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW39141OtherNYP GROUP MEDICARE #
NY837V51OtherPERSONAL MEDICARE #
NYW39141OtherNYP GROUP MEDICARE #