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Individual

PETER HARRIS

Active
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Individual

PETER HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012075
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011283007
UNIVERA #
NY
01
—
000611325005
HEALTH NOW BCBS #
NY
01
—
0145195
GHI PPO #
NY
01
—
0191145
IHA #
NY
01
—
050422000005
FIDELIS CARE #
NY
01
—
159884FT
PREFERRED CARE #
NY
01
—
P00357162
MEDICARE RAILROAD #
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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