Individual
JEFFREY HARRISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2475 SAINT RAYMONDS AVE, ANESTHESIA DEPARTMENT, BRONX, NY 10461-3124
(718) 430-7473
(718) 430-7336
Mailing address
PO BOX A, ASSURE ANESTHESIA, NORTH BELLMORE, NY 11710-0745
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
146274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00918121
—
NY
Enumeration date
06/08/2006
Last updated
07/08/2007
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