Provider Demographics
NPI:1013036581
Name:HARRIS, WENDY A (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:A
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:ANNE
Other - Last Name:HARRIS-HEALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:ONE HUNTER AVENUE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504
Mailing Address - Country:US
Mailing Address - Phone:914-219-5524
Mailing Address - Fax:914-219-5754
Practice Address - Street 1:ONE HUNTER AVENUE
Practice Address - Street 2:SUITE B
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504
Practice Address - Country:US
Practice Address - Phone:914-219-5524
Practice Address - Fax:914-219-5754
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0338742084P0800X
NY2032762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry