Healthcare Provider Details

I. General information

NPI: 1578039418
Provider Name (Legal Business Name): HARMONY HEALTH CARE LONG ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S BROOKSIDE AVE
FREEPORT NY
11520-3144
US

IV. Provider business mailing address

1600 STEWART AVE STE 300
WESTBURY NY
11590-6611
US

V. Phone/Fax

Practice location:
  • Phone: 516-623-3600
  • Fax:
Mailing address:
  • Phone: 516-396-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID NEIMIROFF
Title or Position: PRESIDENT, CEO
Credential: LCSW
Phone: 516-546-4198