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Individual

MICHAEL HARKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
3400 BAINBRIDGE AVE, BRONX, NY 10467-2404
(718) 920-7315

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022475
NY

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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