Healthcare Provider Details

I. General information

NPI: 1871933531
Provider Name (Legal Business Name): KAREN HARBER LCAT BC ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 3RD AVE
BRONX NY
10457-2562
US

IV. Provider business mailing address

708 JEFFERSON AVE
BROOKLYN NY
11221-2807
US

V. Phone/Fax

Practice location:
  • Phone: 718-364-7700
  • Fax: 718-364-7700
Mailing address:
  • Phone: 718-797-4825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number05-001512
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code246ZA2600X
TaxonomyMedical Art Specialist/Technologist
License Number05-001512
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: