Individual
DR. FREDRICK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., DDS
Contact information
Practice address
575 MADISON AVE FL 23, NEW YORK, NY 10022-2511
(646) 278-4579
Mailing address
575 MADISON AVE FL 23, NEW YORK, NY 10022-2511
(646) 278-4579
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
063728
NY
1223P0221X
Pediatric Dentistry
13475
CT
1223P0221X
Pediatric Dentistry
Primary
22DI02899700
NJ
Other
Enumeration date
07/06/2019
Last updated
05/08/2025
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