Individual
ARLENE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 256-5300
Mailing address
4A JAMESTOWN CT, RIDGE, NY 11961-3617
(631) 639-0345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
748878
NY
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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