Provider Demographics
NPI:1871760132
Name:HARADA, YOSHINARI (DC)
Entity type:Individual
Prefix:DR
First Name:YOSHINARI
Middle Name:
Last Name:HARADA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E 40TH ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0401
Mailing Address - Country:US
Mailing Address - Phone:212-360-6031
Mailing Address - Fax:212-202-3835
Practice Address - Street 1:15 E 40TH ST
Practice Address - Street 2:SUITE 901
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0401
Practice Address - Country:US
Practice Address - Phone:212-360-6031
Practice Address - Fax:212-202-3835
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011125111NS0005X
NJ38MC000659400111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician