Provider Demographics
NPI:1528137023
Name:HARARI, KORNELIA (PHD)
Entity type:Individual
Prefix:DR
First Name:KORNELIA
Middle Name:
Last Name:HARARI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7035 LOUBET ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5847
Mailing Address - Country:US
Mailing Address - Phone:718-268-4378
Mailing Address - Fax:
Practice Address - Street 1:45 POPHAM RD
Practice Address - Street 2:SUITE 1H
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4252
Practice Address - Country:US
Practice Address - Phone:718-551-5127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017500-1103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral