Healthcare Provider Details

I. General information

NPI: 1831666833
Provider Name (Legal Business Name): HARBOR FAMILY HEALTH NP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2018
Last Update Date: 06/06/2020
Certification Date: 06/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1072 GRAND CONCOURSE
BRONX NY
10456-3901
US

IV. Provider business mailing address

228 E ROUTE 59 # 408
NANUET NY
10954-2905
US

V. Phone/Fax

Practice location:
  • Phone: 718-362-8183
  • Fax:
Mailing address:
  • Phone: 718-362-1411
  • Fax: 718-414-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ESTHER LEBOVIC
Title or Position: OWNER
Credential: DNP, FNP-BC
Phone: 718-362-8183