Provider Demographics
NPI:1730181132
Name:HARDMAN, JANE M (MD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:M
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4567 CROSSROADS PARK DR
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-3589
Mailing Address - Country:US
Mailing Address - Phone:315-295-2100
Mailing Address - Fax:315-295-2125
Practice Address - Street 1:321 GENESEE ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2611
Practice Address - Country:US
Practice Address - Phone:315-361-2020
Practice Address - Fax:315-361-2221
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY192964207ZF0201X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC8386Medicare PIN
NYF76672Medicare UPIN