Individual
FLORENCE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9367
(315) 779-5055
(315) 779-5066
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9367
(315) 779-5055
(315) 779-5066
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01333004
—
NY
01
—
109410CK
PREFERRED CARE
NY
Enumeration date
07/13/2006
Last updated
01/17/2008
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