Individual
DR. PHILIP L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7571 STATE ROUTE 54, BATH, NY 14810-9504
(607) 776-8714
(607) 776-8631
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
177979
NY
208600000X
Surgery Physician
ME0043626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01136272
—
NY
05
—
255032600
—
FL
Enumeration date
09/30/2005
Last updated
11/24/2020
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