Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 178098 | NY |
NPI | 1053339515 |
---|---|
Provider Name | Dr. Linda M Harris |
First Address | Buffalo, NY 14267-0002 |
Second Address | Buffalo, NY 14203-1126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 26/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01583155 | (05) | NY |
E49285 | (02) |