Individual
HELEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 251-3100
Mailing address
100 PLAZA DR, VESTAL, NY 13850-3641
(607) 798-9356
(607) 797-1707
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004744
NY
363AS0400X
Surgical Physician Assistant
170214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010114626
—
NY
Enumeration date
08/09/2006
Last updated
10/26/2020
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