Provider Demographics
NPI:1881054872
Name:HARRISON PHYSICIAN SERVICES PLLC
Entity type:Organization
Organization Name:HARRISON PHYSICIAN SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHASHISHEKHAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:PALEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-835-0073
Mailing Address - Street 1:106 CALVERT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-3131
Mailing Address - Country:US
Mailing Address - Phone:914-835-0073
Mailing Address - Fax:914-355-3035
Practice Address - Street 1:106 CALVERT ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-3131
Practice Address - Country:US
Practice Address - Phone:914-835-0073
Practice Address - Fax:914-355-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty