Healthcare Provider Details

I. General information

NPI: 1437889029
Provider Name (Legal Business Name): HARMONY HEALTH CARE LONG ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WAGNER AVE
ROOSEVELT NY
11575-1528
US

IV. Provider business mailing address

1600 STEWART AVE STE 300
WESTBURY NY
11590-6611
US

V. Phone/Fax

Practice location:
  • Phone: 516-571-8600
  • Fax: 516-546-4154
Mailing address:
  • Phone: 516-396-0187
  • Fax: 516-546-4114

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 AARON NEMIROFF
Title or Position: CEO, PRESIDENT
Credential: LCSW
Phone: 516-296-4198