Organization
PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ARTHUR HARDER MD (INDIVIDUAL PRACTITIONER)
(631) 286-3572
Entity
Organization
Contact information
Practice address
2 ACADEMY LN, BELLPORT, NY 11713-2702
(631) 286-3572
Mailing address
2 ACADEMY LN, BELLPORT, NY 11713-2702
(631) 286-3572
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0704871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704871
INDIVIDUAL PRACTITIONER
NY
Enumeration date
06/15/2016
Last updated
06/15/2016
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