Individual
ROBERT GERARD HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
393 GARDEN ST, WEST ISLIP, NY 11795-2423
(516) 661-4166
Mailing address
393 GARDEN ST, WEST ISLIP, NY 11795-2423
(516) 661-4166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
007933-01
NY
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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