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Ethan Hargrave
NPI 1528945284 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1793 Outlet Rd
Penn Yan, NY 14527 - Phone
- (302) 494-7186
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York