Healthcare Provider Details

I. General information

NPI: 1205751948
Provider Name (Legal Business Name): MS. CIARA ANNE HARGADEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 INDEPENDENCE AVE
TAPPAN NY
10983-1304
US

IV. Provider business mailing address

10 MOUNTAINVIEW AVE
ORANGEBURG NY
10962-1201
US

V. Phone/Fax

Practice location:
  • Phone: 845-360-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number515460
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: