Healthcare Provider Details

I. General information

NPI: 1184565848
Provider Name (Legal Business Name): HARBORSTONE COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 E 165TH ST APT 6B
BRONX NY
10456-6872
US

IV. Provider business mailing address

576 E 165TH ST APT 6B
BRONX NY
10456-6872
US

V. Phone/Fax

Practice location:
  • Phone: 646-571-7845
  • Fax:
Mailing address:
  • Phone: 646-571-7845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ROJAS RIVERA
Title or Position: OWNER
Credential:
Phone: 646-571-7845