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General NPI Number Information
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NPI Number | 1164151627
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Entity Type | Organization
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Legal Business Name | HARMONY MEDICAL CARE, PC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 3350 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6792
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Country | US
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Telephone | 718-551-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 310 POILLON AVE STE 101
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5947
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Country | US
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Telephone | 718-551-1580
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JERRY GORDON
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Credential |
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Telephone | 718-551-1580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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