Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 212756-1 | NY |
NPI | 1104827583 |
---|---|
Provider Name | Anne Hardart |
First Address | New York, NY 10087-8082 |
Second Address | New York, NY 10019-1104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 18/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02364212 | (05) | NY |
H35472 | (02) | NY |