NPI Code Details Logo

NPI 1073478327

NPI 1073478327 : BRIANA NICOLE HARSH : OSWEGO, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073478327
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIANA NICOLE HARSH
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/18/2025
-----------------------------------------------------
    Last Update Date     |    12/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    159 W 1ST ST 
-----------------------------------------------------
    City                 |    OSWEGO
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13126-2045
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-342-9575
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    159 W 1ST ST 
-----------------------------------------------------
    City                 |    OSWEGO
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    13126-2045
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    315-342-9575
-----------------------------------------------------
    Fax                  |    315-342-7664
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    174400000X
-----------------------------------------------------
    Taxonomy Name        |    Specialist
-----------------------------------------------------
    License Number       |    1984281251
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    174400000X
-----------------------------------------------------
    Taxonomy Name        |    Specialist
-----------------------------------------------------
    License Number       |    19013491400292269432
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.