MEDICARE: DAWN S HARBATKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	202482	NY
2	207R00000X	Internal Medicine Physician	C52221	CA
3	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	C52221	CA
4	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	202482	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033119284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN S HARBATKIN MD

Provider Business Mailing Address
First Line	:	3980 SHERIDAN DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-1727
Country	:	US
Telephone Number	:	716-250-2000
Fax Number	:	716-819-3821

Provider Business Practice Location Address
First Line	:	3980 SHERIDAN DR
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14226-1727
Country	:	US
Telephone Number	:	716-250-2000
Fax Number	:	716-819-3821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	12/20/2023

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Directions to “ DAWN S HARBATKIN MD” Practice Location

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