Individual
GEORGIA N. HARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
56 CHURCH STREET, LANCASTER, NY 14086
(716) 681-6722
Mailing address
56 CHURCH STREET, LANCASTER, NY 14086
(716) 681-6722
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001289-1
NY
332H00000X
Eyewear Supplier
14000003279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01384849
—
NY
Enumeration date
11/23/2009
Last updated
11/23/2009
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