Provider Demographics
NPI:1467867267
Name:HARBOR VIEW MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:HARBOR VIEW MEDICAL SERVICES PC
Other - Org Name:NEUROLOGY ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:631-473-1320
Mailing Address - Street 1:70 N COUNTRY RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2161
Mailing Address - Country:US
Mailing Address - Phone:631-686-7970
Mailing Address - Fax:631-686-7831
Practice Address - Street 1:70 N COUNTRY RD
Practice Address - Street 2:SUITE 302
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2161
Practice Address - Country:US
Practice Address - Phone:631-686-7890
Practice Address - Fax:631-686-7831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty