Provider Demographics
NPI:1811965866
Name:CARD, HAROLD G
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:G
Last Name:CARD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CARE LN
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8624
Mailing Address - Country:US
Mailing Address - Phone:800-243-5854
Mailing Address - Fax:206-824-9510
Practice Address - Street 1:6 CARE LN
Practice Address - Street 2:HAROLD G CARD MD
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866
Practice Address - Country:US
Practice Address - Phone:518-587-7625
Practice Address - Fax:518-587-0273
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190823207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0139003206204Medicaid
NY060018315OtherRR MEDICARE
NY52718GMedicare PIN
NY060018315OtherRR MEDICARE