=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205704319
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARMONY HEALTH CARE LONG ISLAND
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/29/2025
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 841 ETHEL T KLOBERG DR
-----------------------------------------------------
City | NORTH BALDWIN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11510-2433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-434-6091
-----------------------------------------------------
Fax | 516-546-9074
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 400 OAK ST STE 104
-----------------------------------------------------
City | GARDEN CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11530-6554
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-546-4198
-----------------------------------------------------
Fax | 516-805-4882
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO, PRESIDENT
-----------------------------------------------------
Name | DAVID AARON NEMIROFF
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-546-4198
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------