Hargrove, Michael David
Hargrove, Michael David is an sole proprietor health care provider with primary practice located at 3130 Grand Concourse Suite B8, Bronx NY 10458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Hargrove, Michael David can be contacted via phone (718) 365-5662.Contact Information
Primary practice address
3130 Grand Concourse Suite B8
Bronx NY 10458
Phone: (718) 365-5662
Fax: (718) 933-8208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 188349 | New York |
Profile Details
| NPI number | 1336114115 |
|---|---|
| LBN Legal business name | Hargrove, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Sep 2nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336114115 | NPPES |
| New York | MEDICAID | 01623812 |
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