Organization
HARBOUR MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS ETHAN BORATIN (PRESIDENT)
(516) 671-2166
Entity
Organization
Contact information
Practice address
70 FOREST AVE STE 2C, GLEN COVE, NY 11542-2117
(516) 671-2166
(516) 674-2166
Mailing address
70 FOREST AVE STE 2C, GLEN COVE, NY 11542-2117
(516) 671-2166
(516) 674-2166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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