Hardy, Quanisha

Hardy, Quanisha is an individual health care provider with primary practice located at 24 Humboldt St 4G, Brooklyn NY 11206-4138. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Hardy, Quanisha can be contacted via phone (917) 294-7380.

Contact Information

Primary practice address
24 Humboldt St 4G Brooklyn NY 11206-4138
Phone: (917) 294-7380
Fax: (718) 455-9037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 539756383 New York

Profile Details

NPI number 1891170296
LBN Legal business name Hardy, Quanisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2015
Last updated Jul 27th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891170296 NPPES
New York MEDICAID XV19664C

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