Healthcare Provider Details

I. General information

NPI: 1902898976
Provider Name (Legal Business Name): HARRY VICTOR BOND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 10/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 OCEAN PKWY FIRST FLOOR
BROOKLYN NY
11218-2408
US

IV. Provider business mailing address

372 5TH AVE APT. 10E
NEW YORK NY
10018-8106
US

V. Phone/Fax

Practice location:
  • Phone: 718-853-8249
  • Fax:
Mailing address:
  • Phone: 212-564-0211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number214877
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: