Individual
MARK ADAM HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5502
(212) 342-4061
Mailing address
P.O. BOX 27036, NEW YORK, NY 10032-3729
(212) 305-5502
(212) 342-4061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
090732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0842704
—
NJ
05
—
143971
—
NY
Enumeration date
10/25/2006
Last updated
09/20/2013
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