Ada M Harris | Holbrook, NY • PECOS Search

Ada M Harris

Specialist

Other Service Providers

2103 Saddle Rock Rd, Holbrook, NY 11741-4828

PECOS Enrollment

Based on the most recent information from CMS, provider Ada M Harris does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1912561614
Provider Type
Individual
Full Name
Harris, Ada M
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/28/2019
Last Updated
10/30/2023

Contact Information

Practice Location

2103 Saddle Rock Rd, Holbrook, NY 11741-4828

Unlisted Fax

Mailing Location

2103 Saddle Rock Rd, Holbrook, NY 11741-4828

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer