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Contact Information

MARY B HARRIS, RN
7 WESTBROOK RD
CORAM, NY11727
 Phone: 631-928-3058
 Fax: 631-928-3058
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY B HARRIS · (Female)

NPI Number 1386777977
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/13/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 2207011
  • NY Medicaid 01903566
Hospital affiliation(s) Not Available
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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