Look up the most recent NPI and PECOS records

Karen Harris

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Karen Harris is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1316614282
Provider Type
Individual
Full Name
Harris, Karen
Gender
Female

Sole Proprietor
No
Enumeration Date
8/27/2021
Last Updated
1/24/2023

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 029310-01 New York

Karen Harris

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Cho, Eunice

West, Lara Maria

Sanchez, Alexandra

Izmikna, Shadi

Tecza, Dominica

Goldberg, Regina

Roberts, Jessica Ann

Hanna, Catherine

Melnyk, Iryna

Rakvin, Magdalena