National Provider Identifier
Gregory Marra, MD
Gregory Marra, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Hamburg, NY and a listed phone number of (716) 646-5500.
Profile Overview
- NPI
- 1275997140
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 07, 2016
- Last Updated
- September 26, 2019
Practice Location
- 5844 Southwestern Blvd
- Hamburg, NY 14075-3684
Phone: (716) 646-5500
Mailing Address
- 120 Hobart St
- Utica, NY 13501-4308
Specialties
- Family Medicine Physician (207Q00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1275997140
- Entity Type
- Individual
- Last Name
- Marra
- First Name
- Gregory
- Credential
- MD
- Mailing Street Address
- 120 Hobart St
- Mailing City
- Utica
- Mailing State
- NY
- Mailing ZIP Code
- 13501-4308
- Mailing Country
- US
- Mailing Phone
- (315) 801-1149
- Mailing Fax
- (315) 801-3565
- Practice Street Address
- 5844 Southwestern Blvd
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-3684
- Practice Country
- US
- Practice Phone
- (716) 646-5500
- Practice Fax
- (716) 646-5502
- Enumeration Date
- April 07, 2016
- Last Updated
- September 26, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)