Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 146350 | NY |
NPI | 1093886186 |
---|---|
Provider Name | Alan Hartman |
First Address | Manhasset, NY 11030 |
Second Address | Manhasset, NY 11030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |