Individual
DALE HARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 NOSTRAND AVE, BROOKLYN, NY 11229-5107
(607) 221-7861
Mailing address
17 E 17TH ST APT 3A, BROOKLYN, NY 11226-2648
(607) 221-7861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027060
NY
Other
Enumeration date
03/30/2021
Last updated
10/08/2021
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