Provider Demographics
NPI:1164710661
Name:HARB, HARB NIDAL (MD, MPH, MBA)
Entity type:Individual
Prefix:DR
First Name:HARB
Middle Name:NIDAL
Last Name:HARB
Suffix:
Gender:M
Credentials:MD, MPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:960 WHEELER RD UNIT 5128
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-6006
Mailing Address - Country:US
Mailing Address - Phone:480-581-1101
Mailing Address - Fax:480-914-1430
Practice Address - Street 1:1460 S PARK AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1041
Practice Address - Country:US
Practice Address - Phone:480-581-1101
Practice Address - Fax:480-914-1430
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289421207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease