Individual
COREY MICHAEL HARDIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
998 CROOKED HILL RD, W BRENTWOOD, NY 11717-1019
(631) 761-2288
(631) 761-2069
Mailing address
998 CROOKED HILL RD, W BRENTWOOD, NY 11717-1019
(631) 761-2288
(631) 761-2069
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
499048
NY
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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