Healthcare Provider Details

I. General information

NPI: 1407029333
Provider Name (Legal Business Name): ZIV HARISH M D P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ENGLE ST STE 18
ENGLEWOOD NJ
07631-2417
US

IV. Provider business mailing address

200 ENGLE ST STE 18
ENGLEWOOD NJ
07631-2417
US

V. Phone/Fax

Practice location:
  • Phone: 201-871-7475
  • Fax: 201-871-6091
Mailing address:
  • Phone: 201-871-7475
  • Fax: 201-871-6091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ORNA HARISH
Title or Position: OFFICE MANAGER
Credential: PHD
Phone: 201-871-7475