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NPI Code Detail

MEDICARE: KIM SHARON HARDWICK RPA-C

MEDICARE: KIM SHARON HARDWICK RPA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant009857NY
2363A00000XPhysician Assistant009857NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467406157
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM SHARON HARDWICK RPA-C
Provider Business Mailing Address
First Line : 45 FOSTER RD
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-6123
Country : US
Telephone Number : 845-262-4590
Fax Number : 855-200-2625
Provider Business Practice Location Address
First Line : 45 FOSTER RD
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-6123
Country : US
Telephone Number : 845-226-4590
Fax Number : 855-200-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 02/15/2024

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