Doctor Name: | MS. SHEILA ANN HARRISON |
NPI Number: | 1073636502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | 8110 |
Business Practice Address: | 450 Margaret St Plattsburgh, NY - 129011755 |
Business Phone Number: | 5185662020 |
Business Fax Number: | |
Mailing Address: | 13 Homestead Dr, PLATTSBURGH |
State: | NY |
Postal Code: | 129016196 |
Phone Number: | 5185617007 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 8110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |