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NPI Code Detail

MEDICARE: IQUORN HARRIS RN

MEDICARE: IQUORN HARRIS RN
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
1164W00000XLicensed Practical Nurse306973NY
2163W00000XRegistered Nurse844303NY

General Provider Information

NPI Number : 1932464302
Entity Type Code : Individual
Provider Name (Legal Business Name) : IQUORN HARRIS RN
Provider Business Mailing Address
First Line : 801 E 241ST ST
Second Line :
City : BRONX
State : NY
Zip : 10470-1303
Country : US
Telephone Number : 718-671-2100
Fax Number :
Provider Business Practice Location Address
First Line : 801 E 241ST ST
Second Line :
City : BRONX
State : NY
Zip : 10470-1303
Country : US
Telephone Number : 929-275-4121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 06/09/2022

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Directions to “ IQUORN HARRIS RN” Practice Location

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