MEDICARE: DR. DONNA M HARTMANN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	N0032441	NY

General Provider Information

NPI Number	:	1942243043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA M HARTMANN DPM

Provider Business Mailing Address
First Line	:	34 S BROADWAY
Second Line	:	SUITE 504
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-4400
Country	:	US
Telephone Number	:	914-289-2592
Fax Number	:	914-289-2591

Provider Business Practice Location Address
First Line	:	34 S BROADWAY
Second Line	:	SUITE 504
City	:	WHITE PLAINS
State	:	NY
Zip	:	10601-4400
Country	:	US
Telephone Number	:	914-289-2592
Fax Number	:	914-289-2591

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	05/13/2008

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