Individual
MICHAELA JOANNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W MAIN ST, RIVERHEAD, NY 11901-2813
(631) 369-0104
Mailing address
82 ELIZABETH DR, WADING RIVER, NY 11792-1809
(631) 833-8078
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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