Individual
HARRIS MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 E FORDHAM RD, BRONX, NY 10458-5014
(718) 562-5000
Mailing address
40 CROSSHILL RD, HARTSDALE, NY 10530-3013
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00374483
—
NY
Enumeration date
03/29/2006
Last updated
05/01/2008
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