Individual
MRS. JEANINE HARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,OTR/L
Contact information
Practice address
15 HASTINGS DR, FORT SALONGA, NY 11768-2508
(631) 754-1099
Mailing address
15 HASTINGS DR, FORT SALONGA, NY 11768-2508
(631) 754-1099
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
007756
NY
Other
Enumeration date
11/21/2010
Last updated
11/21/2010
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