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Individual

STEVEN MARK HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
711 LINCOLN BLVD, LONG BEACH, NY 11561-2315
(516) 431-9800
(516) 431-9853
Mailing address
4 FORESTER ST, LONG BEACH, NY 11561-2415
(516) 431-9800
(516) 431-9853

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
131942
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00582343
NY
Enumeration date
11/15/2005
Last updated
08/31/2012
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