Individual
DR. PHILIP MARRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 UNION ST, SCHENECTADY, NY 12308-3023
(218) 382-2616
(518) 382-9930
Mailing address
1401 UNION ST, SCHENECTADY, NY 12308-3023
(218) 382-2616
(518) 382-9930
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1440421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00867863
—
NY
Enumeration date
05/01/2006
Last updated
10/02/2017
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