Individual
GARY MASASHI HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCAT
Contact information
Practice address
1400 PELHAM PKWY S, BEHAVIORAL HEALTH-BUILDING #1, BRONX, NY 10461-1138
(718) 918-6728
(718) 918-7783
Mailing address
530 E 83RD ST, APT 5W, NEW YORK, NY 10028-7253
(212) 879-8317
(212) 794-3057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000083-1
NY
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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