| Organization Name: | HARBOR MEDICAL CARE PC |
| NPI Number: | 1073858742 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANJAY SANGWAN (DOCTOR) |
| Mailing Address: | 116 Terryville Rd Port Jefferson Station |
| State: | NY US |
| Postal Code: | 117761329 |
| Phone Number: | 6319282002 |
| Fax Number: | 2062023956 |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 238641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |