Individual
MRS. KATHERINE C FARRELL HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.N., C.D.E.
Contact information
Practice address
52 DUANE ST, NEW YORK, NY 10007-1207
(646) 680-4227
(516) 542-5556
Mailing address
ADVANTAGECARE PHYSICIANS, PC, 55 WATER STREET 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005474
NY
163WD0400X
Diabetes Educator Registered Nurse
20510119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000600027483
HEALTH PLUS
NY
05
—
03459592
—
NY
Enumeration date
09/02/2009
Last updated
09/01/2020
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