Provider Demographics
NPI:1427137868
Name:HAREWOOD, SCHARLYN BOLLING (PT)
Entity type:Individual
Prefix:MRS
First Name:SCHARLYN
Middle Name:BOLLING
Last Name:HAREWOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 N BROOKSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-1007
Mailing Address - Country:US
Mailing Address - Phone:516-546-3609
Mailing Address - Fax:
Practice Address - Street 1:5353 MERRICK RD
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-6209
Practice Address - Country:US
Practice Address - Phone:516-798-1800
Practice Address - Fax:516-798-1821
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002692-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist