National Provider Identifier

Edward Todd Harris III

Edward Todd Harris III is listed in the NPPES registry with a primary specialty of Lodging Provider in Buffalo, NY and a listed phone number of (716) 430-4633.

NPI 1225668270Buffalo, NYLodging Provider

Profile Overview

NPI
1225668270
Provider Type
Individual
Primary Specialty
Lodging Provider
Enumeration Date
January 17, 2020
Last Updated
January 17, 2020

Practice Location

  • 224 Oakridge Ave
  • Buffalo, NY 14217-1165

Phone: (716) 430-4633

Specialties

  • Lodging Provider (177F00000X)
  • Counselor (101Y00000X)
  • Funeral Director (176P00000X)
  • Lodging Provider (177F00000X)
  • Pastoral Counselor (101YP1600X)
  • Peer Specialist (175T00000X)
Full Record
NPI
1225668270
Entity Type
Individual
Last Name
Harris
First Name
Edward
Middle Name
Todd
Name Suffix
III
Mailing Street Address
224 Oakridge Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14217-1165
Mailing Country
US
Mailing Phone
(716) 430-4633
Practice Street Address
224 Oakridge Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14217-1165
Practice Country
US
Practice Phone
(716) 430-4633
Enumeration Date
January 17, 2020
Last Updated
January 17, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
January 17, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Lodging Provider (177F00000X), Counselor (101Y00000X), Funeral Director (176P00000X), Lodging Provider (177F00000X), Pastoral Counselor (101YP1600X), Peer Specialist (175T00000X)