Provider Demographics
NPI:1326032269
Name:HARRISON, AARON I (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:I
Last Name:HARRISON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 637, 109 BAKER AVE
Mailing Address - Street 2:BASSETT HEALTHCARE NETWORK
Mailing Address - City:MIDDLEBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12122
Mailing Address - Country:US
Mailing Address - Phone:518-827-7730
Mailing Address - Fax:518-827-7731
Practice Address - Street 1:109 BAKER AVE
Practice Address - Street 2:BASSETT HEALTHCARE NETWORK
Practice Address - City:MIDDLEBURGH
Practice Address - State:NY
Practice Address - Zip Code:12122
Practice Address - Country:US
Practice Address - Phone:518-827-7730
Practice Address - Fax:518-827-7731
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB7162Medicare PIN
NYC28248Medicare UPIN