Provider Demographics
NPI:1962465542
Name:HARWIN, STEVEN F (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:HARWIN
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 1:910 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0255
Mailing Address - Country:US
Mailing Address - Phone:212-861-9800
Mailing Address - Fax:212-861-5276
Practice Address - Street 1:910 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0255
Practice Address - Country:US
Practice Address - Phone:212-861-9800
Practice Address - Fax:212-861-5276
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112503207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00203705Medicaid
NY973561Medicare ID - Type Unspecified
NY00203705Medicaid