Individual
LOGAN ELIZABETH HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3660
Mailing address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3660
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
759098
NY
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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