SearchNew York103K00000X

Jaclyn Harris

NPI 1053790212 · on the registry since 2015 · sole proprietor

Practice

Address
28 Burleigh Dr
Holbrook, NY 11741
Phone
(631) 949-4000

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York