National Provider Identifier

Tony Ray Harris SR., LPN

Tony Ray Harris SR., LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 436-9782.

NPI 1225332935Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1225332935
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 10, 2011
Last Updated
January 10, 2011

Practice Location

  • 294 Roslyn St
  • Rochester, NY 14619-1844

Phone: (585) 436-9782

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1225332935
Entity Type
Individual
Last Name
Harris
First Name
Tony
Middle Name
Ray
Name Prefix
Mr.
Name Suffix
SR.
Credential
LPN
Mailing Street Address
294 Roslyn St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1844
Mailing Country
US
Mailing Phone
(585) 436-9782
Practice Street Address
294 Roslyn St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1844
Practice Country
US
Practice Phone
(585) 436-9782
Enumeration Date
January 10, 2011
Last Updated
January 10, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)