KEVIN EDWARD HARRISON (NPI# 1396804431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396804431 |
| Entity Type | Individual |
| Full Name | KEVIN EDWARD HARRISON |
| Credential | MD |
| Practice Address |
290 Community Dr Great Neck NY 11021-5504 |
| Practice Telephone | 5164871902 |
| Practice Fax Number | 5164874156 |
| Mailing Telephone | (516) 487-1902 |
| Mailing Fax Number | 5164874156 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 163273 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01009003 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1617 North James Street, Suite 700, Rome, NY 13440 | 3153370202 | 3153378188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407140361 | Kevin Charles Harrison | Dentist | 10151 Montgomery Blvd Ne Ste C, Albuquerque, NM 87111-3670 | 2011-06-07 |
| 1518052240 | Kevin S Harrison | Psychiatry & Neurology | 200 East Joppa Road, Suite 204, Towson, MD 21286 | 2006-10-04 |
| 1447292610 | Kevin B Harrison | Optometrist | 700 Town and Country Blvd, Suite 2460, Houston, TX 77024-3939 | 2006-06-12 |
| 1336180595 | Kevin Neil Harrison | Chiropractor | 4055 Spring Cove Dr, Duluth, GA 30097-2833 | 2006-06-09 |
| 1073514238 | Kevin Charles Harrison | Internal Medicine | 9460 Amberdale Drive, Suite C, Richmond, VA 23236 | 2005-08-09 |
| 1598237216 | Kevin Mason Harrison | Nurse Anesthetist, Certified Registered | 30 Medical Center Boulevard, Professional Office Bldg 1, Suite 305, Upland, PA 19013 | 2018-12-19 |
| 1730433459 | Kevin Harrison | Pharmacist | 127 Marginal Way, Portland, ME 04101-2470 | 2012-11-02 |
| 1013153527 | Kevin Blair Harrison | Chiropractor | 512 W Duval St, Lake City, FL 32055-3899 | 2009-01-05 |
| 1982725149 | Kevin Harrison | Technician/Technologist | 6096 U S Highway 98, Ste. 1, Hattiesburg, MS 39402-8885 | 2007-04-03 |
| 1467548776 | Kevin Arthur Harrison | Dentist | 16410 Smokey Point Blvd, Suite 305, Arlington, WA 98223 | 2006-10-05 |
| Street Address |
290 COMMUNITY DR |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780048041 | New Focus Medicne | Clinic/Center | 290 Community Dr, Great Neck, NY 11021-5504 | 2016-04-12 |
| 1629479324 | Great Neck Medicine, PC | Clinic/Center | 290 Community Dr, Great Neck, NY 11021-5504 | 2014-09-12 |
| 1942631270 | Great Neck Medicine PC | Specialist | 290 Community Dr, Great Neck, NY 11021-5504 | 2013-12-12 |
| 1770913196 | North Shore Physical Therapy and Occupational Therapy, Pllc | Physical Therapist | 290 Community Dr, Great Neck, NY 11021-5504 | 2013-11-21 |
| 1750693701 | Aat Medical PC | Legal Medicine | 290 Community Dr, Great Neck, NY 11021-5504 | 2010-07-07 |
| 1275770067 | North Shore Podiatry, PC | Podiatrist | 290 Community Dr, Great Neck, NY 11021-5504 | 2009-01-15 |
| 1942465331 | Ronald Krapf | Respiratory Therapist, Certified | 290 Community Dr, Great Neck, NY 11021-5504 | 2008-07-24 |
| 1831370113 | Hyperbaric Medicine of Newyork,pc | Internal Medicine | 290 Community Dr, Great Neck, NY 11021-5504 | 2007-11-15 |
| 1134321763 | Gorenstein Medical Care, PC | Internal Medicine | 290 Community Dr, Great Neck, NY 11021-5504 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| 1538562202 | Christopher Robert Taglia | Surgery | 310 E Shore Rd Ste 203, Great Neck, NY 11023-2432 | 2014-10-08 |
| 1407291198 | Mary Francescucci Dirico | Surgery | 1 Kings Point Rd, Great Neck, NY 11024-1640 | 2013-05-08 |
| 1811253081 | David Shokrian | Surgery | 9 Sinclair Dr, Great Neck, NY 11024-1621 | 2012-04-02 |
| 1861642571 | Sumit De | Surgery | 10 Webb Hill Rd, Great Neck, NY 11020-1119 | 2008-09-30 |
| 1013070697 | Alex Michael Stone | Surgery | 37 South Dr, Great Neck, NY 11021-1959 | 2006-12-18 |
| 1174616767 | Larry Eli Gellman | Surgery | 310 East Shore Road, Suite 203, Great Neck, NY 11023 | 2006-10-02 |
| 1801814694 | Lawrence Alvin Gordon | Surgery | 9 Chester Dr, Great Neck, NY 11021-4904 | 2006-07-18 |
| 1144203415 | Gregory Fried | Surgery | 2 Effron Pl, Great Neck, NY 11020-1412 | 2005-11-21 |
| 1427373216 | Nicholas Alexander La Gamma | Surgery | 900 Northern Blvd, Suite 100, Great Neck, NY 11021-5337 | 2010-04-05 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on KEVIN EDWARD HARRISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.