Healthcare Provider Details

I. General information

NPI: 1902753049
Provider Name (Legal Business Name): HARMONY HEALTH CARE LONG ISLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 UNION AVE STE 104
WESTBURY NY
11590-3552
US

IV. Provider business mailing address

682 UNION AVE STE 104
WESTBURY NY
11590-3552
US

V. Phone/Fax

Practice location:
  • Phone: 516-571-9500
  • Fax: 516-571-9557
Mailing address:
  • Phone: 516-571-9500
  • Fax: 516-571-9557

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 Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NICOLE KATHRYN TAHMAZ
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 516-396-0187