Healthcare Provider Details

I. General information

NPI: 1467857862
Provider Name (Legal Business Name): NIAMH HARTNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2014
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MIDLAND GDNS APT 1H
BRONXVILLE NY
10708-4725
US

IV. Provider business mailing address

3 MIDLAND GDNS APT 1H
BRONXVILLE NY
10708-4725
US

V. Phone/Fax

Practice location:
  • Phone: 914-319-0777
  • Fax:
Mailing address:
  • Phone: 914-319-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0232821
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: