Individual
MICHAEL DAVID HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3130 GRAND CONCOURSE, SUITE B8, BRONX, NY 10458
(718) 365-5662
(718) 933-8208
Mailing address
17 MERLIN AVENUE, SLEEPY HOLLOW, NY 10591-1606
(914) 490-8568
(718) 933-8208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
188349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01623812
—
NY
Enumeration date
02/23/2006
Last updated
02/03/2025
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