Individual
THEODORE JOEL HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 FIFTH AVENUE, SUITE 1, NEW YORK, NY 10011
(212) 254-2020
(212) 673-3236
Mailing address
2 FIFTH AVENUE, SUITE 1, NEW YORK, NY 10011
(212) 254-2020
(212) 673-3236
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
152876
NY
Other
Enumeration date
11/15/2006
Last updated
11/01/2011
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