Harris, Joshua

Harris, Joshua is an sole proprietor health care provider with primary practice located at 49 Nesconset Hwy , Port Jefferson Station NY 11776-2628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Harris, Joshua can be contacted via phone (631) 751-0000.

Contact Information

Primary practice address
49 Nesconset Hwy Port Jefferson Station NY 11776-2628
Fax: (631) 509-6559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 284654-1 New York

Profile Details

NPI number 1649531815
LBN Legal business name Harris, Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jul 29th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649531815 NPPES
New York MEDICAID 04687147

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