Healthcare Provider Details

I. General information

NPI: 1407911860
Provider Name (Legal Business Name): HARVEY BLOCK PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 ARCADIAN WAY
PARAMUS NJ
07652-1291
US

IV. Provider business mailing address

16 ARCADIAN WAY
PARAMUS NJ
07652-1291
US

V. Phone/Fax

Practice location:
  • Phone: 201-845-9800
  • Fax: 201-845-8663
Mailing address:
  • Phone: 201-845-9800
  • Fax: 201-845-8663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: