Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 132817 | NY |
NPI | 1144300948 |
---|---|
Provider Name | Dr. Fredric David Harris |
First Address | New York, NY 10029-6928 |
Second Address | New York, NY 10029-6928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |