Individual
DEON CANDACY HARDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
70 KOMONCHAK CIR, WEST HAVERSTRAW, NY 10993-1260
(845) 729-5560
Mailing address
70 KOMONCHAK CIR, WEST HAVERSTRAW, NY 10993-1260
(845) 729-5560
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
847450
NY
164W00000X
Licensed Practical Nurse
277893
NY
Other
Enumeration date
08/23/2010
Last updated
07/25/2023
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