Provider Demographics
NPI:1801108741
Name:HARRIS, ORLANDO OMAR (NP-F)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:OMAR
Last Name:HARRIS
Suffix:
Gender:M
Credentials:NP-F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 JOSEPH C WILSON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14627-0001
Mailing Address - Country:US
Mailing Address - Phone:917-945-3883
Mailing Address - Fax:
Practice Address - Street 1:490 ILLINOIS ST FL 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2510
Practice Address - Country:US
Practice Address - Phone:415-476-9463
Practice Address - Fax:415-476-6042
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33-336283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily