Provider Demographics
NPI:1063990687
Name:HARMONY CARE PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:HARMONY CARE PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-868-0407
Mailing Address - Street 1:25240 63RD AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2406
Mailing Address - Country:US
Mailing Address - Phone:917-868-0407
Mailing Address - Fax:
Practice Address - Street 1:35-05 FARRINGTON STREET
Practice Address - Street 2:STE A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:718-886-8531
Practice Address - Fax:718-939-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05010531Medicaid