Provider Demographics
NPI:1184745069
Name:HARBURY, EVA JOSEPHINE BEURLING (MD)
Entity type:Individual
Prefix:DR
First Name:EVA JOSEPHINE
Middle Name:BEURLING
Last Name:HARBURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSEPHINE
Other - Middle Name:B
Other - Last Name:HARBURY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:923 SAW MILL RIVER RD # 199
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1106
Mailing Address - Country:US
Mailing Address - Phone:212-579-3097
Mailing Address - Fax:
Practice Address - Street 1:923 SAW MILL RIVER RD # 199
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-1106
Practice Address - Country:US
Practice Address - Phone:212-579-3097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2012332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY201233Medicaid
OTH000Medicare UPIN
NY58M111Medicare ID - Type Unspecified