Individual
MAURY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 LAKEVILLE ROAD, SUITE 209, NEW HYDE PARK, NY 11042-1122
(516) 358-2121
Mailing address
410 LAKEVILLE RD, SUITE 209, NEW HYDE PARK, NY 11042-1101
(516) 358-2121
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
136798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01095298
—
NY
Enumeration date
12/18/2006
Last updated
12/31/2015
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