Individual
DEIRDRE HARWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
369 NEW SCOTLAND AVE, ALBANY, NY 12208-2736
(518) 475-6775
Mailing address
176 HASGATE DR, DELMAR, NY 12054-6720
(518) 475-7235
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P057685-1
—
NY
Enumeration date
02/25/2014
Last updated
02/25/2014
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