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Contact Information

TUCKER M HARRIS, MD
4000 MEDICAL CENTER DR # 117
FAYETTEVILLE, NY13066
 Phone: 315-744-1505
 Fax: 315-214-1924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for TUCKER M HARRIS · (Male)

NPI Number 1629232418
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2008
Last updated 10/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 258471
  • NY Medicaid 03274408
  • NY Other 258471 LICENSE
Hospital affiliation(s)
  • ST JOSEPH'S HOSPITAL HEALTH CENTER - (Acute Care)
    301 PROSPECT AVENUE
    SYRACUSE, NY 13203
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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