MEDICARE: STEVEN M. HARRIS, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	131942	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629240551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN M. HARRIS, M.D.

Provider Business Mailing Address
First Line	:	4 FORESTER ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2415
Country	:	US
Telephone Number	:	516-431-9800
Fax Number	:	516-431-9853

Provider Business Practice Location Address
First Line	:	711 LINCOLN BLVD
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-2315
Country	:	US
Telephone Number	:	516-431-9800
Fax Number	:	516-431-9853

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN M HARRIS
Credential	:	M.D.
Telephone Number	:	516-431-9800

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	08/31/2012

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