Individual
DR. DEAN J. HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., P.T.RETIRED
Contact information
Practice address
388 HICKS RD, GRANVILLE, NY 12832-2606
(518) 810-5775
Mailing address
388 HICKS RD, GRANVILLE, NY 12832-2606
(518) 810-5775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0000536
VT
111NN0400X
Neurology Chiropractor
Primary
X004113-2
NY
225100000X
Physical Therapist
040.0059361
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6003082
MVP
NY
01
—
808682
MPN
NY
01
—
HARR00069148
BCBSOF VT
VT
01
—
X5M26
EMPIRE BCBS
NY
Enumeration date
07/12/2006
Last updated
06/19/2015
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