Individual
ISIDORA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
874 E 231ST ST, BRONX, NY 10466-4492
(717) 515-5800
Mailing address
120 ELGAR PL APT 29H, BRONX, NY 10475-5109
(718) 515-5800
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
120220677797
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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