Provider Demographics
NPI:1154564870
Name:HARFENIST, BRYAN S (BA)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:S
Last Name:HARFENIST
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 HARRISON ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6555
Mailing Address - Country:US
Mailing Address - Phone:914-633-5252
Mailing Address - Fax:914-633-7070
Practice Address - Street 1:56 HARRISON ST
Practice Address - Street 2:SUITE 505
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6555
Practice Address - Country:US
Practice Address - Phone:914-633-5252
Practice Address - Fax:914-633-7070
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst