Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 247181 | NC |
Y | 207W00000X | Ophthalmologist | 313898 | NY |
NPI | 1023404118 |
---|---|
Provider Name | Dr. Brian Ray Harrow |
First Address | Elmira, NY 14901-3204 |
Second Address | Elmira, NY 14901-3204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 24/01/2022 |