Individual
MS. PEGGY MARIE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
73 BROADWAY, VALLEY STREAM, NY 11580-4809
(516) 668-4581
(516) 612-2808
Mailing address
73 BROADWAY, VALLEY STREAM, NY 11580-4809
(347) 366-3519
(516) 706-9394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242551-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402204
NY
Other
Enumeration date
07/17/2008
Last updated
12/31/2019
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