Individual
DR. MARK HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROADWAY, MENANDS, NY 12204-2738
(518) 650-2398
(517) 210-1049
Mailing address
1 BROADWAY APT 216, MENANDS, NY 12204-2858
(518) 650-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA10290100
NJ
207Q00000X
Family Medicine Physician
Primary
302526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302526
MEDICAL LICENSE
NY
Enumeration date
08/21/2015
Last updated
08/20/2020
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