Individual
DR. KEITH WEBB HARRIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 ROUTE 112 STE B, PORT JEFFERSON STATION, NY 11776-8055
(631) 978-7633
(631) 621-4115
Mailing address
500 COMMACK RD UNIT 206, COMMACK, NY 11725-5022
(631) 675-2125
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
236259-1
NY
Other
Enumeration date
09/21/2006
Last updated
04/29/2022
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