Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301111604 | MI |
Y | 2080P0203X | Pediatric Critical Care Doctor | 312789 | NY |
NPI | 1134548423 |
---|---|
Provider Name | Ms. Sarah E Harding |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 13210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 07/10/2021 |