Provider Demographics
NPI:1750420469
Name:HARNANAN, MICHELE (DPT)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:HARNANAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 HANCOCK ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2107
Mailing Address - Country:US
Mailing Address - Phone:914-720-6585
Mailing Address - Fax:
Practice Address - Street 1:59 HANCOCK ST
Practice Address - Street 2:2ND FL
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-2107
Practice Address - Country:US
Practice Address - Phone:914-720-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist