Harty, Marie V

Harty, Marie V is an individual health care provider with primary practice located at 739 Irving Ave Suite 400, Syracuse NY 13210-1640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Harty, Marie V can be contacted via phone (315) 234-6677.

Contact Information

Primary practice address
739 Irving Ave Suite 400 Syracuse NY 13210-1640
Fax: (315) 234-4808
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F3012621 New York

Profile Details

NPI number 1184694325
LBN Legal business name Harty, Marie V
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1184694325 NPPES
New York MEDICAID 01633729

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