Individual
MICHAEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MONTGOMERY ST, BROOKLYN, NY 11225
(347) 968-8159
Mailing address
300 MONTGOMERY ST, BROOKLYN, NY 11225-2722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
081743
NY
101Y00000X
Counselor
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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