Individual
MS. SYDNEY HARASYM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2831 BUSINESS PARK CT STE 120, LAS VEGAS, NV 89128-9010
(702) 844-8143
Mailing address
2831 BUSINESS PARK CT STE 120, LAS VEGAS, NV 89128-9010
(702) 844-8143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1841
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0K1N
FL BLUE CROSS/BLUE SHIELD
FL
Enumeration date
09/04/2013
Last updated
04/26/2019
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