Harris, Philip L

Harris, Philip L is an individual health care provider with primary practice located at 7571 State Route 54 , Bath NY 14810-9504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Harris, Philip L can be contacted via phone (607) 776-8714.

Contact Information

Primary practice address
7571 State Route 54 Bath NY 14810-9504
Phone: (607) 776-8714
Fax: (607) 776-8631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0043626 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 177979 New York

Profile Details

NPI number 1548257942
LBN Legal business name Harris, Philip L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 24th, 2020 - about 5 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 1548257942 NPPES
Florida MEDICAID 255032600
Florida MEDICAID 01136272

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