Individual
CHARLENE HARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
327 BROADWAY, FORT EDWARD INTERNAL MEDICINE, FORT EDWARD, NY 12828-1233
(518) 747-1041
(518) 747-1022
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 747-1041
(518) 747-1022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02284917
—
NY
01
—
P00175745
RR MEDICARE
NY
Enumeration date
11/07/2005
Last updated
06/07/2012
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