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General NPI Number Information
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NPI Number | 1669329306
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Entity Type | Organization
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Legal Business Name | HARBOR MEDICAL OF NEW YORK PC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1230 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1534
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Country | US
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Telephone | 888-432-8885
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Fax | 844-670-3287
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Provider Business Mailing Address
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Address Line | PO BOX 41913
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City | BELFAST
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State | ME
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Zip | 04915-1271
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Country | US
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Telephone | 888-432-8885
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Fax | 844-670-3287
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM S GRIGG
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Credential |
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Telephone | 612-770-8354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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