Harris, Charles Andrew
Harris, Charles Andrew is an individual health care provider with primary practice located at 19 Bradhurst Ave Ste 3060 , Hawthorne NY 10532-2180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Harris, Charles Andrew can be contacted via phone (914) 493-7667.Contact Information
Primary practice address
19 Bradhurst Ave Ste 3060
Hawthorne NY 10532-2180
Phone: (914) 493-7667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 2012037285 | Missouri |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 317376-01 | New York |
Profile Details
| NPI number | 1578730586 |
|---|---|
| LBN Legal business name | Harris, Charles Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2008 |
| Last updated | Apr 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578730586 | NPPES |
| Missouri | MEDICAID | 1578730586 | |
| Missouri | MEDICAID | ENROLLED |
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