Provider Demographics
NPI:1871150193
Name:HARBOR VIEW MEDICAL SERVICES PC
Entity type:Organization
Organization Name:HARBOR VIEW MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-686-7603
Mailing Address - Street 1:100 HIGHLANDS BLVD # 9
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2320
Mailing Address - Country:US
Mailing Address - Phone:631-686-7809
Mailing Address - Fax:631-686-7972
Practice Address - Street 1:1500 ROUTE 112 BLDG 6
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-8054
Practice Address - Country:US
Practice Address - Phone:631-686-7890
Practice Address - Fax:631-978-7625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty