Individual provider · Type 1 NPI

Owuzechi Jessie Hardy, MD

Student in an Organized Health Care Education/Training Program · Queens, NY

NPI number 1487235271 Active

Practice location

Elmhurst Hospital Center, 79-01 Broadway
Queens, NY 11373

Call (781) 334-3542 Map

Fax (718) 334-3441

Mailing address

70 Elliot St
Brockton, MA 02302-2310

Other practice locations

  • 70 Elliot St, Brockton, MA 02302-2310 · (774) 381-9345

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X08493231 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487235271

Owuzechi Jessie Hardy, MD's National Provider Identifier is 1487235271, issued on Apr 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queens, NY. The record was last updated on May 11, 2021.