Provider Demographics
NPI:1902898976
Name:BOND, HARRY VICTOR (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:VICTOR
Last Name:BOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 5TH AVE
Mailing Address - Street 2:APT. 10E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-8106
Mailing Address - Country:US
Mailing Address - Phone:212-564-0211
Mailing Address - Fax:
Practice Address - Street 1:194 OCEAN PKWY
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2408
Practice Address - Country:US
Practice Address - Phone:718-853-8249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2007-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214877208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH14491Medicare UPIN