| Michael Hargrove Md Pllc | |
|
3505 Hill Blvd Ste K Yorktown Heights NY 10598 | |
| (914) 352-6116 | |
| (914) 352-6117 |
| Full Name | Michael Hargrove Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3505 Hill Blvd Ste K, Yorktown Heights, New York |
| Authorized Official Name and Position | Denise Dubose Foulkes (MANAGER) |
| Authorized Official Contact | 9143526116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Hargrove Md Pllc 3505 Hill Blvd Ste K Yorktown Heights NY 10598-1210 Ph: (914) 352-6116 | Michael Hargrove Md Pllc 3505 Hill Blvd Ste K Yorktown Heights NY 10598 Ph: (914) 352-6116 |
| NPI Number | 1720578255 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 9537515937 |
|---|---|
| Medicare Enrollment ID | O20231020001581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720578255 | NPI | - | NPPES |
| Provider Name | Michael D Hargrove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336114115 PECOS PAC ID: 8527013986 Enrollment ID: I20050317001084 |
| Provider Name | Susan Taylor Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720601859 PECOS PAC ID: 3678969060 Enrollment ID: I20220412001832 |
| Provider Name | Lillian E Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205519485 PECOS PAC ID: 7315387453 Enrollment ID: I20240506004320 |
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