National Provider Identifier

Ian Mitchell Harmatz-Kean

Ian Mitchell Harmatz-Kean is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-2723.

NPI 1780444174Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1780444174
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 21, 2024
Last Updated
June 06, 2024

Practice Location

  • 601 Elmwood Avenue Box Surg
  • Rochester, NY 14642-0001

Phone: (585) 275-2723

Mailing Address

  • 245 S 45Th St Apt A3
  • Philadelphia, PA 19104-3246

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1780444174
Entity Type
Individual
Last Name
Harmatz-Kean
First Name
Ian
Middle Name
Mitchell
Provider Other Last Name
Harmatz-Kean
Provider Other First Name
Ian
Provider Other Middle Name
Mitchell
Provider Other Last Name Type Code
5
Mailing Street Address
245 S 45Th St Apt A3
Mailing City
Philadelphia
Mailing State
PA
Mailing ZIP Code
19104-3246
Mailing Country
US
Practice Street Address
601 Elmwood Avenue Box Surg
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2723
Enumeration Date
March 21, 2024
Last Updated
June 06, 2024
Sex
Male
Sole Proprietor
No
Certification Date
June 06, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)