Harewood, Itha

Harewood, Itha is an individual health care provider with primary practice located at 85 W Burnside Ave , Bronx NY 10453-4015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Harewood, Itha can be contacted via phone (718) 483-1270.

Contact Information

Primary practice address
85 W Burnside Ave Bronx NY 10453-4015
Fax: (718) 228-7471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219177 New York

Profile Details

NPI number 1124092952
LBN Legal business name Harewood, Itha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated May 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124092952 NPPES
New York MEDICAID 02583113

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