Most Relevant Information
Provider Data
| NPI Number: | 1003815531 |
| Provider Name: | MICHAEL A HARRIS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | R049722-1 |
Most Important Dates
| Enumeration Date: | 07/18/2005 |
| Last Updated: | 11/15/2011 |
Provider Practice Location
231 W BEECH ST
LONG BEACH
NY
115613201
Practice Location Phone/Fax
| Phone: | 5168971883 |
| Fax: | 5164705415 |
Provider Mailing Location
231 W BEECH ST
LONG BEACH
NY
115613201
Provider Mailing Phone/Fax
| Phone: | 5168971883 |
| Fax: | 5164705415 |