Provider Demographics
NPI:1629204656
Name:RECHTSCHAFFEN, MIERA HARRIS (MD)
Entity type:Individual
Prefix:
First Name:MIERA
Middle Name:HARRIS
Last Name:RECHTSCHAFFEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MIERA
Other - Middle Name:BETH
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:40 E 80TH ST # 5A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0230
Mailing Address - Country:US
Mailing Address - Phone:212-744-2078
Mailing Address - Fax:
Practice Address - Street 1:630 W 168TH ST
Practice Address - Street 2:DIVISION OF PULMONARY MEDICINE PH8E-101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:212-305-9817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236073207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease