Harris, Michael Eli

Harris, Michael Eli is an individual health care provider with primary practice located at 10211 Roosevelt Ave , Corona NY 11368-2331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harris, Michael Eli can be contacted via phone (718) 898-5200.

Contact Information

Primary practice address
10211 Roosevelt Ave Corona NY 11368-2331
Phone: (718) 898-5200
Fax: (718) 898-1251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 280075 New York

Profile Details

NPI number 1861758864
LBN Legal business name Harris, Michael Eli
Credentials M.D. , MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated May 17th, 2016 - about 9 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 1861758864 NPPES
New York MEDICAID 04254564

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