Individual
GREGORY MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5844 SOUTHWESTERN BLVD, HAMBURG, NY 14075-3684
(716) 646-5500
(716) 646-5502
Mailing address
120 HOBART ST, UTICA, NY 13501-4308
(315) 801-1149
(315) 801-3565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
300973
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2016
Last updated
09/26/2019
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