Basic Information
| Provider Information | |||||||||
| NPI: | 1871933531 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARBER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCAT BC ATR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 708 JEFFERSON AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112212807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187974825 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4419 3RD AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104572562 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183647700 | ||||||||
| FaxNumber: | 7183647700 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2013 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 05-001512 | NY | N | Behavioral Health & Social Service Providers | Counselor | 246ZA2600X | 05-001512 | NY | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Art, Medical |
No ID Information.