Mark Harris, LMT
Massage Therapist in Patchogue, NY. Individual provider (NPI-1).
NPI number1104986496
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104986496
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Harris
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 019351 | NY | Yes |
Practice location
140 N Ocean AvePatchogue, NY 11772-2004
Phone 631-254-2225
Mailing address
82 Chanel Dr EShirley, NY 11967-3812
Phone 631-281-2128
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 30 Massage Therapist providers in Patchogue · All 1,282 providers in Patchogue
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