MEDICARE: HARRY VICTOR BOND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	214877	NY

General Provider Information

NPI Number	:	1902898976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRY VICTOR BOND M.D.

Provider Business Mailing Address
First Line	:	372 5TH AVE
Second Line	:	APT. 10E
City	:	NEW YORK
State	:	NY
Zip	:	10018-8106
Country	:	US
Telephone Number	:	212-564-0211
Fax Number	:

Provider Business Practice Location Address
First Line	:	194 OCEAN PKWY
Second Line	:	FIRST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2408
Country	:	US
Telephone Number	:	718-853-8249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	10/28/2007

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