1134470933 NPI number — MRS. TANYA MARIE HARLEC MCGUIRE M.S.

Table of content: MRS. TANYA MARIE HARLEC MCGUIRE M.S. (NPI 1134470933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134470933 NPI number — MRS. TANYA MARIE HARLEC MCGUIRE M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARLEC MCGUIRE
Provider First Name:
TANYA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134470933
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90 PRESDENTIAL PLAZA UHCC 3RD FL.
Provider Second Line Business Mailing Address:
REGIONAL PERINATAL CENTER, SUNY UPSTATE MEDICAL CENTER
Provider Business Mailing Address City Name:
SYRACUSE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-464-4458
Provider Business Mailing Address Fax Number:
315-464-6388

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
90 PRESDENTIAL PLAZA UHCC 3RD FL.
Provider Second Line Business Practice Location Address:
REGIONAL PERINATAL CENTER SUNY UPSTATE MEDICAL CTR,
Provider Business Practice Location Address City Name:
SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-464-4458
Provider Business Practice Location Address Fax Number:
315-464-6388
Provider Enumeration Date:
09/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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