Individual
LYNN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 CARPENTER AVE, STATEN ISLAND, NY 10314-4903
(718) 698-0759
Mailing address
42 CARPENTER AVE, STATEN ISLAND, NY 10314-4903
(718) 698-0759
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
488683
NY
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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