Individual
JIMMY LEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 SPENCER RD APT 3E, ITHACA, NY 14850-5127
(929) 810-7610
Mailing address
622 W 137TH ST APT 24, NEW YORK, NY 10031-8042
(929) 810-7610
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
794609483
NY
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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