| Harmony Health Care Long Island | |
|
50 S Brookside Ave Freeport NY 11520-3144 | |
| (516) 623-3600 | |
| Not Available |
| Full Name | Harmony Health Care Long Island |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 S Brookside Ave, Freeport, New York |
| Authorized Official Name and Position | David Neimiroff (PRESIDENT, CEO) |
| Authorized Official Contact | 5165464198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Health Care Long Island 1600 Stewart Ave Ste 300 Westbury NY 11590-6611 Ph: (516) 396-0187 | Harmony Health Care Long Island 50 S Brookside Ave Freeport NY 11520-3144 Ph: (516) 623-3600 |
| NPI Number | 1578039418 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 5991970535 |
|---|---|
| Medicare Enrollment ID | O20210827002014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578039418 | NPI | - | NPPES |
| 06775328 | Medicaid | NY | |
| 571816 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
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