Healthcare Provider Details

I. General information

NPI: 1063760189
Provider Name (Legal Business Name): JOSEPH M HARVEY M.D., M.P.H. & T.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2012
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 SAINT HELENA ST
PERRY NY
14530-1537
US

IV. Provider business mailing address

74 SAINT HELENA ST
PERRY NY
14530-1537
US

V. Phone/Fax

Practice location:
  • Phone: 585-286-6247
  • Fax:
Mailing address:
  • Phone: 585-286-6247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number209249
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD.021707
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.021707
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number209249
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: