Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 217592 | NY |
NPI | 1063506574 |
---|---|
Provider Name | Curtis L Hardy |
First Address | Elmhurst, NY 11373-5069 |
Second Address | Elmhurst, NY 11373-5069 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 26/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01HCQR | GHI MEDICARE (01) | NY |
02108381 | (05) | NY |
244E31 | EMPIRE MEDICARE (01) | NY |
H31547 | (02) |