Basic Information
Provider Information
NPI: 1013351782
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARPER
FirstName: AARON
MiddleName: EZRA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1262
Address2: 450 CLARKSON AVENUE, SUNY DOWNSTATE MEDICAL CENTER
City: BROOKLYN
State: NY
PostalCode: 112021262
CountryCode: US
TelephoneNumber: 7182708867
FaxNumber:  
Practice Location
Address1: 450 CLARKSON AVE
Address2: SUNY DOWNSTATE MEDICAL CENTER
City: BROOKLYN
State: NY
PostalCode: 112032012
CountryCode: US
TelephoneNumber: 7182708867
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/24/2013
LastUpdateDate: 04/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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