National Provider Identifier
Jeremiah S Harvey
Jeremiah S Harvey is listed in the NPPES registry with a primary specialty of Specialist in Gasport, NY and a listed phone number of (618) 798-0676.
Profile Overview
- NPI
- 1801678016
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- October 23, 2023
- Last Updated
- October 23, 2023
Practice Location
- 8013 Ditch RD
- Gasport, NY 14067-9434
Phone: (618) 798-0676
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1801678016
- Entity Type
- Individual
- Last Name
- Harvey
- First Name
- Jeremiah
- Middle Name
- S
- Mailing Street Address
- 8013 Ditch RD
- Mailing City
- Gasport
- Mailing State
- NY
- Mailing ZIP Code
- 14067-9434
- Mailing Country
- US
- Mailing Phone
- (618) 798-0676
- Practice Street Address
- 8013 Ditch RD
- Practice City
- Gasport
- Practice State
- NY
- Practice ZIP Code
- 14067-9434
- Practice Country
- US
- Practice Phone
- (618) 798-0676
- Enumeration Date
- October 23, 2023
- Last Updated
- October 23, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)