Provider Demographics
NPI:1306264007
Name:WILSON-HARRIS, BRITTANEY M (MD)
Entity type:Individual
Prefix:
First Name:BRITTANEY
Middle Name:M
Last Name:WILSON-HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:219 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2006
Mailing Address - Country:US
Mailing Address - Phone:716-878-7750
Mailing Address - Fax:
Practice Address - Street 1:1364 N WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-5313
Practice Address - Country:US
Practice Address - Phone:909-361-3061
Practice Address - Fax:909-677-2113
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA163597207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology