MEDICARE: DR. JAMES HARBO DDS

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	1223G0001X	General Practice Dentistry	029323	NY

General Provider Information

NPI Number	:	1134387624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HARBO DDS

Provider Business Mailing Address
First Line	:	60 E 42ND ST
Second Line	:	SUITE 1512
City	:	NEW YORK
State	:	NY
Zip	:	10165-0006
Country	:	US
Telephone Number	:	212-370-9283
Fax Number	:	212-370-9472

Provider Business Practice Location Address
First Line	:	60 E 42ND ST
Second Line	:	SUITE 1512
City	:	NEW YORK
State	:	NY
Zip	:	10165-0006
Country	:	US
Telephone Number	:	212-370-9283
Fax Number	:	212-370-9472

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

Provider Enumeration Date	:	05/30/2008
Last Update Date	:	05/30/2008

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Directions to “ DR. JAMES HARBO DDS” Practice Location

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