KEITH W HARRIS II

STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

Dr KEITH W HARRIS II is a male medical professional, specializing in Pulmonary Disease. He graduated in 2001 from Philadelphia College Of Osteopathic Medicine.

Contact

STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION

26 RESEARCH WAY
EAST SETAUKET
NY
117333526

Tel: 6314440580

KEITH W HARRIS II Information

Npi 1114026853
Pac Id 5597837245
Professional Enrollment Id I20080712000004
Last Name HARRIS
First Name KEITH
Middle Name W
Suffix II
Gender M
Credential
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2001
Primary Specialty PULMONARY DISEASE
Secondary Specialty 1 CRITICAL CARE (INTENSIVISTS)
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties CRITICAL CARE (INTENSIVISTS)
Organization Legal Name STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION
Group Practice Pac Id 9133019821
Number Of Group Practice Members 264
Line 1 Street Address 26 RESEARCH WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST SETAUKET
State NY
Zip Code 117333526
Phone Number 6314440580
Hospital Affiliation Ccn 1 330185
Hospital Affiliation Lbn 1 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
Hospital Affiliation Ccn 2 330393
Hospital Affiliation Lbn 2 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 3 330246
Hospital Affiliation Lbn 3 ST CHARLES HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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