MEDICARE: GREGORY E HARNETT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	019352-1	NY

General Provider Information

NPI Number	:	1104236678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY E HARNETT

Provider Business Mailing Address
First Line	:	151 OLD WEST POINT RD E
Second Line	:
City	:	GARRISON
State	:	NY
Zip	:	10524-3834
Country	:	US
Telephone Number	:	914-382-6122
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 OLD WEST POINT RD E
Second Line	:
City	:	GARRISON
State	:	NY
Zip	:	10524-3834
Country	:	US
Telephone Number	:	914-382-6122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2014
Last Update Date	:	01/18/2015

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Directions to “ GREGORY E HARNETT ” Practice Location

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