Healthcare Provider Details

I. General information

NPI: 1255620381
Provider Name (Legal Business Name): HARMONY CONNECTIONS OF NEW YORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 03/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 W 38TH ST SUITE 1201
NEW YORK NY
10018-2999
US

IV. Provider business mailing address

330 W 38TH ST SUITE 1201
NEW YORK NY
10018-2999
US

V. Phone/Fax

Practice location:
  • Phone: 212-725-7774
  • Fax: 212-658-9585
Mailing address:
  • Phone: 212-725-7774
  • Fax: 212-658-9585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number052973
License Number StateNY

VIII. Authorized Official

Name: MR. TRAVIS W ATKINSON
Title or Position: DIRECTOR
Credential: LCSW
Phone: 212-725-7774