Provider Demographics
NPI:1730347188
Name:HARRIS, MARSHA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:ANN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:36 E 36TH ST OFC 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3463
Mailing Address - Country:US
Mailing Address - Phone:646-822-0228
Mailing Address - Fax:646-822-6793
Practice Address - Street 1:36 E 36TH ST OFC 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3463
Practice Address - Country:US
Practice Address - Phone:646-822-0228
Practice Address - Fax:646-822-6793
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-31
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY230668-1208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery