Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | F320004-1 | NY |
N | 363LC1500X | Nurse Practitioner - Community Health | F32004-1 | NY |
NPI | 1760604128 |
---|---|
Provider Name | Ms. Terry Lee Harding |
First Address | Binghamton, NY 13403 |
Second Address | Binghamton, NY 13403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 11/10/2018 |