National Provider Identifier
Jimmy Lee Harris
Jimmy Lee Harris is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Ithaca, NY and a listed phone number of (929) 810-7610.
Profile Overview
- NPI
- 1528722675
- Provider Type
- Individual
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- October 25, 2021
- Last Updated
- October 25, 2021
Practice Location
- 654 Spencer RD Apt 3E
- Ithaca, NY 14850-5127
Phone: (929) 810-7610
Mailing Address
- 622 W 137Th St Apt 24
- New York, NY 10031-8042
Specialties
- Non-emergency Medical Transport (VAN) (343900000X)
Full Record
- NPI
- 1528722675
- Entity Type
- Individual
- Last Name
- Harris
- First Name
- Jimmy
- Middle Name
- Lee
- Mailing Street Address
- 622 W 137Th St Apt 24
- Mailing City
- New York
- Mailing State
- NY
- Mailing ZIP Code
- 10031-8042
- Mailing Country
- US
- Mailing Phone
- (929) 810-7610
- Practice Street Address
- 654 Spencer RD Apt 3E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5127
- Practice Country
- US
- Practice Phone
- (929) 810-7610
- Enumeration Date
- October 25, 2021
- Last Updated
- October 25, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Non-emergency Medical Transport (VAN) (343900000X)