| Doctor Name: | SUSAN JEAN HARKINS |
| NPI Number: | 1962517342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP |
| License Number: | 340357 |
| Business Practice Address: | 99 Sixth Avenue Ilion, NY - 13357 |
| Business Phone Number: | 3158954050 |
| Business Fax Number: | 3158957197 |
| Mailing Address: | 99 Sixth Avenue, ILION |
| State: | NY |
| Postal Code: | 13357 |
| Phone Number: | 3158954050 |
| Fax Number: | 3158957197 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 10/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 340357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |