Healthcare Provider Details

I. General information

NPI: 1538435409
Provider Name (Legal Business Name): CHRISTOPHER M HARNAIN M.D., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15-01 BROADWAY STE 1
FAIR LAWN NJ
07410-6003
US

IV. Provider business mailing address

1612 CENTRAL AVE
FAR ROCKAWAY NY
11691-4002
US

V. Phone/Fax

Practice location:
  • Phone: 201-812-2929
  • Fax:
Mailing address:
  • Phone: 718-247-8794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME130070
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number297926
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: