Healthcare Provider Details

I. General information

NPI: 1083394514
Provider Name (Legal Business Name): STEPHANIE HARMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 BALLSTON AVE
SARATOGA SPRINGS NY
12866-4723
US

IV. Provider business mailing address

35 WOODIN RD UNIT B
HALFMOON NY
12065-6307
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-8008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2418961
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: