Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 259570 | NY |
N | 207X00000X | Orthopaedic Surgeon | OS12108 | FL |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 259570 | NY |
NPI | 1386801579 |
---|---|
Provider Name | Jeffrey D Hart |
First Address | East Setauket, NY 11733-4079 |
Second Address | East Setauket, NY 11733-4079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 19/06/2019 |