Provider Demographics
NPI:1265078703
Name:AREFI, HAROUN M
Entity type:Individual
Prefix:
First Name:HAROUN
Middle Name:M
Last Name:AREFI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1247 ATLANTIC AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-5467
Mailing Address - Country:US
Mailing Address - Phone:858-752-9565
Mailing Address - Fax:
Practice Address - Street 1:110 E 23RD ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4554
Practice Address - Country:US
Practice Address - Phone:212-401-6923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor