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Contact Information

KENNETH A HARRIS JR, MD
27005 76TH AVE
NEW HYDE PARK, NY11040-1402
 Phone: 718-470-3377
 Fax: 718-925-6027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for KENNETH A HARRIS JR · (Male)

NPI # 1285719054
Status Active
Credentials MD
Entity Individual
Enumeration date 10/27/2006
Last updated 07/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 221868
  • NY Medicaid 00245643
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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