Individual
SUSAN JEAN HARKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
99 SIXTH AVENUE, ILION, NY 13357
(315) 895-4050
(315) 895-7197
Mailing address
99 SIXTH AVENUE, ILION, NY 13357
(315) 895-4050
(315) 895-7197
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340357
NY
Other
Enumeration date
08/19/2006
Last updated
10/14/2009
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