Individual provider · Type 1 NPI
Alethea Lavita Harris, MSPLUS30
Specialist · Rego Park, NY
NPI number
1285996165
Active
Practice location
97 77 Queens Blvd., Penthouse
Rego Park, NY 11374-3300
Mailing address
13918 109th Rd
Jamaica, NY 11435-5501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1285996165
Alethea Lavita Harris, MSPLUS30's National Provider Identifier is 1285996165, issued on Jun 15, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Jun 15, 2012.