MEDICARE: DR. KORNELIA HARARI PH.D.

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	103TB0200X	Cognitive & Behavioral Psychologist	017500-1	NY

General Provider Information

NPI Number	:	1528137023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KORNELIA HARARI PH.D.

Provider Business Mailing Address
First Line	:	26 COURT ST STE 600
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11242-1106
Country	:	US
Telephone Number	:	718-551-5127
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 COURT ST STE 600
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11242-1106
Country	:	US
Telephone Number	:	718-551-5127
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	05/07/2026

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