Provider Demographics
NPI:1760604128
Name:HARDING, TERRY LEE (NP)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:LEE
Last Name:HARDING
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:UNITED OCCUPATIONAL MEDICINE
Mailing Address - Street 2:33 MITCHELL AVE #204
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13403
Mailing Address - Country:US
Mailing Address - Phone:607-762-2333
Mailing Address - Fax:607-762-3320
Practice Address - Street 1:UNITED OCCUPATIONAL MEDICINE
Practice Address - Street 2:33 MITCHELL AVE #204
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13403
Practice Address - Country:US
Practice Address - Phone:607-762-2333
Practice Address - Fax:607-762-3320
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF32004-1363LC1500X
NYF320004-1363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health