Healthcare Provider Details

I. General information

NPI: 1104827583
Provider Name (Legal Business Name): ANNE HARDART M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRADHURST AVE STE 2700S
HAWTHORNE NY
10532-2140
US

IV. Provider business mailing address

19 BRADHURST AVE STE 2700S
HAWTHORNE NY
10532-2140
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-2250
  • Fax: 914-493-2080
Mailing address:
  • Phone: 914-493-2250
  • Fax: 914-493-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number212756-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: