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NPI Code Detail

MEDICARE: HARRISON PIDGEON MD

MEDICARE: HARRISON PIDGEON 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
1207P00000XEmergency Medicine Physician315366NY
2390200000XStudent in an Organized Health Care Education/Training Program
3207P00000XEmergency Medicine Physician125.075082IL
42083A0300XAddiction Medicine (Preventive Medicine) Physician315366NY

General Provider Information

NPI Number : 1427515014
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRISON PIDGEON MD
Provider Business Mailing Address
First Line : 1750 W HARRISON ST
Second Line : STE 108
City : CHICAGO
State : IL
Zip : 60612-3825
Country : US
Telephone Number : 312-942-5681
Fax Number :
Provider Business Practice Location Address
First Line : 3201 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2625
Country : US
Telephone Number : 718-252-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2019
Last Update Date : 04/21/2026

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