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NPI Profile for ELIZABETH J HARBIN in STATEN ISLAND, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X |
| NPI # | 1902412968 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/16/2020 | |
| Last updated | 09/16/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELIZABETH J HARBIN
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ELIZABETH J HARBIN