Harris, Mary Beckett

Harris, Mary Beckett is an individual health care provider with primary practice located at 7 Westbrook Rd , Coram NY 11727. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Harris, Mary Beckett can be contacted via phone (631) 928-3058.

Contact Information

Primary practice address
7 Westbrook Rd Coram NY 11727
Phone: (631) 928-3058
Fax: (631) 928-3058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2207011 New York

Profile Details

NPI number 1386777977
LBN Legal business name Harris, Mary Beckett
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
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 1386777977 NPPES
New York MEDICAID 01903566

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