Individual
VANESSA HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3524 83RD ST, JACKSON HEIGHTS, NY 11372-5229
(718) 639-0700
Mailing address
553 HINSDALE ST APT A4, BROOKLYN, NY 11207-6140
(718) 644-6304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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