Provider Demographics
NPI:1285044263
Name:HARMONY AT 154TH INC.
Entity Type:Organization
Organization Name:HARMONY AT 154TH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCOBONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-364-7251
Mailing Address - Street 1:2488 GRAND CONCOURSE
Mailing Address - Street 2:SUITE 332
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5203
Mailing Address - Country:US
Mailing Address - Phone:718-364-7251
Mailing Address - Fax:718-364-7255
Practice Address - Street 1:367 E 154TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-1191
Practice Address - Country:US
Practice Address - Phone:718-585-5440
Practice Address - Fax:718-585-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care