Provider Demographics
NPI:1598861890
Name:HARKAVY, LINDA A (MD)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:HARKAVY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:70 E SUNRISE HWY
Mailing Address - Street 2:SUITE 608
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1233
Mailing Address - Country:US
Mailing Address - Phone:516-872-7070
Mailing Address - Fax:516-872-7075
Practice Address - Street 1:70 E SUNRISE HWY
Practice Address - Street 2:SUITE 608
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1233
Practice Address - Country:US
Practice Address - Phone:516-872-7070
Practice Address - Fax:516-872-7075
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1466122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0050754OtherGHI
30103270OtherFIDELIS
146612A38OtherHEALTHFIRST
46D561OtherEMPIRE FEDERAL
AD00575OtherMDNY
ANC905OtherOXFORD
NS0000372OtherSELECT PRO
0101046612NY01OtherANTHEM HEALTH
4343084OtherAETNA PPO
0885885OtherAETNA MC
30103270OtherBETTER HEALTH
00012680OtherINDEPENDENT HEALTH
4343084OtherAETNA SELECT CHOICE
65258OtherCIGNA
46D561OtherEMPIRE BLUE CROSS BLUE SH
4343084OtherAETNA PPO
30103270OtherFIDELIS