Harris, Jonathan A

Harris, Jonathan A is an individual health care provider with primary practice located at 415 Hooper Rd Endwell Family Physicians Llp, Endwell NY 13760-3698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Jonathan A can be contacted via phone (607) 754-3863.

Contact Information

Primary practice address
415 Hooper Rd Endwell Family Physicians Llp Endwell NY 13760-3698
Phone: (607) 754-3863
Fax: (607) 754-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 124091 New York

Profile Details

NPI number 1376563551
LBN Legal business name Harris, Jonathan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376563551 NPPES
New York MEDICAID 00557617
New York Other 10031687
New York Other NY0024397
New York Other 3480
New York Other 58141
New York Other 3480
New York Other 3480
New York Other 4210330
New York Other 9684882
New York Other 320946
New York Other 3480
New York Other 3480
New York Other 320946
New York Other 878442

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