Individual
MS. ADA M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 SADDLE ROCK RD, HOLBROOK, NY 11741-4828
(516) 216-0216
Mailing address
2103 SADDLE ROCK RD, HOLBROOK, NY 11741-4828
(516) 216-0216
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/28/2019
Last updated
10/30/2023
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