Individual
JOSEPH CEPHAS HARRISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 SLATE CREEK DR APT 10, CHEEKTOWAGA, NY 14227-2918
(716) 391-7777
Mailing address
27 SLATE CREEK DR APT 10, CHEEKTOWAGA, NY 14227-2918
(716) 391-7777
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
417884100
NY
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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