Individual
DR. MICHAEL ELI HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. , MPH
Contact information
Practice address
10211 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 898-5200
(718) 898-1251
Mailing address
10211 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 898-5200
(718) 898-1251
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
280075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04254564
—
NY
Enumeration date
04/04/2012
Last updated
05/17/2016
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