Bruce Harro, M.D.

Individual provider Active NPI Family Medicine Physician · Schuylerville, NY

NPI 1649264698 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1649264698
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
141606 (NY)
Practice address
92 Broad St
Schuylerville, NY 12871-1301
Phone
(518) 695-5137
Fax
(518) 695-5149
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141606NYMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 141606 NY Yes

Addresses

Primary practice location

92 Broad St
Schuylerville, NY 12871-1301

Mailing address

92 Broad St
Schuylerville, NY 12871-1301
Phone (518) 695-5137

Other providers in Schuylerville, NY

All providers in Schuylerville, NY · Family Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.