Individual
SUSAN S HARALABATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
179890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01689207
—
NY
Enumeration date
08/02/2005
Last updated
09/01/2009
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