| Doctor Name: | MR. ROBERT HARASTY |
| NPI Number: | 1295822203 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 50-002321 |
| Business Practice Address: | 5001 Transportation Dr Sheffield Village, OH - 440542849 |
| Business Phone Number: | 4403292800 |
| Business Fax Number: | 4403292810 |
| Mailing Address: | 630 E River St, ELYRIA |
| State: | OH |
| Postal Code: | 440355902 |
| Phone Number: | 4403297500 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 08/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 50-002321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |