Provider Demographics
NPI:1548381312
Name:H. C. HARDE MD
Entity Type:Organization
Organization Name:H. C. HARDE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:H
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-828-4125
Mailing Address - Street 1:6805 ROUTE 9 STE 31
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1160
Mailing Address - Country:US
Mailing Address - Phone:845-876-3868
Mailing Address - Fax:845-876-3756
Practice Address - Street 1:946 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2626
Practice Address - Country:US
Practice Address - Phone:518-828-4125
Practice Address - Fax:518-828-4842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1322492080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty