Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 123618 | NY |
N | 111NI0900X | Internist | 123618 | NY |
Y | 207RI0200X | Infectious Disease | 123618 | NY |
NPI | 1053313940 |
---|---|
Provider Name | Barry Jay Hartman |
First Address | New York, NY 10021-5327 |
Second Address | New York, NY 10021-5327 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 28/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007699754 | (05) | NY |
C09622 | (02) |