Harbour Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HARBOUR MEDICAL SUPPLY LLC

Practice address

70 Forest Ave Ste 2C
Glen Cove, NY 11542-2117

Phone

(516) 671-2166

Fax

(516) 674-2166

NPI assigned

Feb 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Morris Ethan Boratin

Title

President

Phone

(516) 671-2166

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1104383819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FOREST AVE STE 2C",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422117",
            "telephone_number": "516-671-2166",
            "fax_number": "516-674-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FOREST AVE STE 2C",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422117",
            "telephone_number": "516-671-2166",
            "fax_number": "516-674-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "BORATIN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-671-2166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Gulbransen, MHC-LP
• Stephanie Nakiye Gungor, MS, RD, CNSC, CDN
• Chitvan Gupta, DDS
• Neal Gupta, M.D.
• Susan Bressi Hamilton, AUD
• Harry D Tawfik MD PC
• Herbert S. Perry MD PC
• Cynthia Lynn Herman
• Paul Herman, PH.D.
• Lynn B Higgins, LCSW

• Durable Medical Equipment & Medical Supplies in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.