Hardenburgh, Nicole Dorio

Hardenburgh, Nicole Dorio is an individual health care provider with primary practice located at Usa Meddac 11050 Mt. Belvedere Blvd., Fort Drum NY 13602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hardenburgh, Nicole Dorio can be contacted via phone (315) 772-6184.

Contact Information

Primary practice address
Usa Meddac 11050 Mt. Belvedere Blvd. Fort Drum NY 13602
Phone: (315) 772-6184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2020029140 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 025392-01 New York

Profile Details

NPI number 1194324343
LBN Legal business name Hardenburgh, Nicole Dorio
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2020
Last updated Mar 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194324343 NPPES
Missouri MEDICAID 490089658
Missouri Other 824000481

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