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General NPI Number Information
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NPI Number | 1356546493
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Entity Type | Individual
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Provider Name | ANDREW C HARRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 914-367-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 633 3RD AVE MSKCC-PBD/3RD FLOOR
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City | NEW YORK
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State | NY
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Zip | 10017-6706
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Country | US
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Telephone | 646-227-3378
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301092416
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 4301092416
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 311769
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License Number State | NY
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