Healthcare Provider Details

I. General information

NPI: 1174135305
Provider Name (Legal Business Name): MILTON HARDING NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 HARRISON ST
JOHNSON CITY NY
13790-2120
US

IV. Provider business mailing address

33 LEWIS RD
BINGHAMTON NY
13905-1048
US

V. Phone/Fax

Practice location:
  • Phone: 607-729-4942
  • Fax: 607-729-7516
Mailing address:
  • Phone: 607-729-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number346233
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: