Harley, Brian J

Harley, Brian J is an individual health care provider with primary practice located at 6620 Fly Road Ste 200, East Syracuse NY 13027. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Harley, Brian J can be contacted via phone (315) 464-4472.

Contact Information

Primary practice address
6620 Fly Road Ste 200 East Syracuse NY 13027
Phone: (315) 464-4472
Fax: (315) 464-5222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 241536 New York
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 241536 New York
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 241536 New York

Profile Details

NPI number 1174528194
LBN Legal business name Harley, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 30th, 2009 - about 17 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 1174528194 NPPES
New York MEDICAID 02250195

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