Individual
DR. KENNETH A HARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3377
(718) 925-6027
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3377
(718) 925-6027
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
221868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245643
—
NY
Enumeration date
10/27/2006
Last updated
07/28/2017
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