Harrington, Charlene
Harrington, Charlene is an individual health care provider with primary practice located at 327 Broadway Fort Edward Internal Medicine, Fort Edward NY 12828-1233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Harrington, Charlene can be contacted via phone (518) 747-1041.Contact Information
Primary practice address
327 Broadway Fort Edward Internal Medicine
Fort Edward NY 12828-1233
Phone: (518) 747-1041
Fax: (518) 747-1022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004799 | New York |
Profile Details
| NPI number | 1356322564 |
|---|---|
| LBN Legal business name | Harrington, Charlene |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jun 7th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356322564 | NPPES |
| New York | Other | P00175745 | RR MEDICARE |
| New York | MEDICAID | 02284917 | RR MEDICARE |
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