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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUAN-DIEGO HARRIS, MD

Active Sole Proprietor

JUAN-DIEGO HARRIS, MD is a Interventional Vascular Surgery healthcare provider located in OGDENSBURG, New York. NPI 1306827654 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · OGDENSBURG, NY

Registration Details

NPI Number
1306827654
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2005 (20.786966888053 yrs)
Last Updated
Dec 12, 2019
Licenses
X001531-1 (NY)
001531 (NY)
Sole Proprietor
Yes

Practice Information

Address
3 LYON PL
OGDENSBURG, NY, 136692590
Browse NY providers · Browse ZIP 13669
Phone
3153947542
Fax
3153940015
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.