Provider Demographics
NPI:1801998505
Name:NALBANDIAN, HAROUT (MD)
Entity type:Individual
Prefix:
First Name:HAROUT
Middle Name:
Last Name:NALBANDIAN
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 1:81 IRVING PL
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2208
Mailing Address - Country:US
Mailing Address - Phone:212-529-1818
Mailing Address - Fax:212-780-9529
Practice Address - Street 1:81 IRVING PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2208
Practice Address - Country:US
Practice Address - Phone:212-529-1818
Practice Address - Fax:212-780-9529
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142231208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00596185Medicaid
NY00596185Medicaid
NY47A283Medicare PIN
NY47A281Medicare PIN