Provider Demographics
NPI:1346453859
Name:HARMATY, MARCO ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:MARCO
Middle Name:ANDREW
Last Name:HARMATY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1263
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-0623
Mailing Address - Fax:212-241-6238
Practice Address - Street 1:5 EAST 98TH STREET
Practice Address - Street 2:14TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-0623
Practice Address - Fax:212-241-6238
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2010-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2295992086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2536FWR621Medicare PIN