Individual
DR. HARRIET O HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
18 W 70TH ST, APARTMENT 1B, NEW YORK, NY 10023-4602
(212) 799-6579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
164169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01133393
—
NY
01
—
19FO932631
MEDICARE-UNSPECIFIED
NY
Enumeration date
11/08/2006
Last updated
02/05/2013
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