Individual
DR. PHILIP HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKDALE PLZ, ROOM 344 CHC, BROOKLYN, NY 11212-3139
(718) 240-5126
(718) 240-6550
Mailing address
274 KELL AVE, STATEN ISLAND, NY 10314-4114
(718) 761-5356
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
171448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252886
—
NY
01
—
06575G
GHS
—
Enumeration date
09/28/2005
Last updated
02/06/2014
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