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Organization

TRANSPARENCY IN REGISTERED NURSING, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD MICHAEL HARRIS NURSE SPECIALIST (HOME INFUSION)
(212) 281-9715
Entity
Organization

Contact information

Practice address
409 E 160TH ST, SUITE 2, BRONX, NY 10451-4503
(718) 292-7174
(718) 292-7174
Mailing address
409 E 160TH ST, SUITE 2, BRONX, NY 10451-4503
(718) 292-7174
(718) 292-7174

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
7267208
NY
261QI0500X
Infusion Therapy Clinic/Center
7267208
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MWCERT2013-391
M/WBE MINORITY OWNED BUSINESS ENTERPRISE
NY
Enumeration date
03/05/2014
Last updated
03/05/2014
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