Individual
JOSHUA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2628
(631) 751-0000
(631) 509-6559
Mailing address
1500 ROUTE 112 STE 101, PORT JEFFERSON STATION, NY 11776-8054
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
284654-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04687147
—
NY
Enumeration date
06/05/2012
Last updated
07/29/2021
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