Individual
STEPHEN U HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MONTAUK HWY, SUITE H, WEST ISLIP, NY 11795-4418
(631) 422-9100
(631) 422-2411
Mailing address
500 MONTAUK HWY, SUITE H, WEST ISLIP, NY 11795-4418
(631) 422-9100
(631) 422-2411
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
187253-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00279602
TRAVELERS MEDICARE
NY
Enumeration date
07/22/2005
Last updated
10/18/2007
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