Healthcare Provider Details

I. General information

NPI: 1497529382
Provider Name (Legal Business Name): HARLEE YORK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2023
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 NEW RD
NORTHFIELD NJ
08225-1466
US

IV. Provider business mailing address

13 COUNTRY MAGNOLIA LN
EGG HARBOR TOWNSHIP NJ
08234-1863
US

V. Phone/Fax

Practice location:
  • Phone: 609-204-4849
  • Fax:
Mailing address:
  • Phone: 973-908-9186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number40QA02220200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number40QA02220200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number40QA02220200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: