Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Hartzog

Individual provider Non-emergency Medical Transport (VAN) · NPI 1013802164

Michael Hartzog is a Non-emergency Medical Transport (VAN) in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 5614
Bay Shore, NY 11706-0433
Phone: (631) 720-6259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence 206795112 (NY)

Record details

NPI number1013802164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing addressPo Box 5614, Bay Shore, NY 11706-0433

Other providers in Bay Shore