Individual
EDWARD TODD HARRIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 OAKRIDGE AVE, BUFFALO, NY 14217-1165
(716) 430-4633
Mailing address
224 OAKRIDGE AVE, BUFFALO, NY 14217-1165
(716) 430-4633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NY
101YP1600X
Pastoral Counselor
—
NY
175T00000X
Peer Specialist
—
NY
176P00000X
Funeral Director
—
NY
177F00000X
Lodging Provider
—
NY
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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